| NPI | 1558839969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JOSEPH BRANGWYNNE A/R Administrator 207-605-1198 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2023-11-08 |