| NPI | 1679716294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL GRAHAM VP Admin/Finance 207-626-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME 493321) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2009-04-13 |