| NPI | 1497096317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN G ROY President 207-774-6412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME LC4504) |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2013-03-04 |