| NPI | 1649409806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL E GRAHAM Vice President/Owner 207-626-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME 493321) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2009-07-09 |