| NPI | 1548512114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISE F MILLER Hct Clinician 207-944-6024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME XL4026) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |