| NPI | 1659985125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE CLUKEY Executive Director 207-738-2488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2023-11-17 |