| NPI | 1568477297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE K SUITTER VP Of Finance And Operations 207-973-5110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: ME ARC 231302) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2018-01-03 |