| NPI | 1548787617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE GUAY Co Executive Director 207-320-1790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: ME XL4179) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2017-08-29 |