| NPI | 1710434170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY E GEORGE CEO 603-343-6352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME LC15680) |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2016-09-02 |