| NPI | 1730557372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY MORTON Clinical Director 207-242-5726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME CNP111091) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |