| NPI | 1639483233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN JOSEPH OBRIEN Director 207-212-9258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME 605962) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: ME 606205) |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2010-08-06 |