| NPI | 1700114675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE T ZENGA Director Of Operations 207-373-0620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME 392123) |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2016-01-19 |