| NPI | 1568694511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A KIMBALL Executive Director Registered Agent 207-941-1612 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: ME 571380) |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2009-08-10 |