| NPI | 1528307600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD R MARTIN Executive Director 207-571-4981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME 661525) |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2013-02-08 |