| NPI | 1619366945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHARINE H EVANS Owner 207-726-4210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: ME LC6533) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |