| NPI | 1528359023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJORIE AVERILL Owner 207-563-3022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: ME 486719) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: ME 486719) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |