| NPI | 1568900074 |
|---|---|
| Doing Business As | 88 OXFORD STREET |
| Entity Type | Organization |
| Authorized Contact | BRANDY BOYLE Billing Contact 207-514-0832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |