| NPI | 1518304872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A LAWRY Sole Member 603-937-0094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME LC1039) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2013-05-28 |