| NPI | 1619651213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM RODMAN Chief Executive Officer 207-236-3595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 273Y00000X Rehabilitation Unit | |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-06-14 |