| NPI | 1659763696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ELIZABETH MIHILL Executive Director 207-899-8648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME 683108) |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2015-02-27 |