| NPI | 1477956217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH MCLEAN Owner 207-999-1948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME LC13445) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |