| NPI | 1669653143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM MELLO President 207-364-7006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME 450120) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2007-11-26 |