NPI | 1669739389 |
---|---|
Entity Type | Organization |
Authorized Contact | JEREMY ASHLEY SPIEGEL Medical Director 207-772-3221 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: ME 015026) |
Enumeration Date | 2012-04-19 |
Last Update Date | 2012-04-19 |