| NPI | 1629348156 |
|---|---|
| Doing Business As | PCHC CLUBHOUSE |
| Entity Type | Organization |
| Authorized Contact | LORI L. DWYER President & CEO 207-992-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME 611003) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2018-08-06 |