| NPI | 1619638905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAVANNAH LORD Director Of Clinical Services 207-812-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2022-06-23 |