| NPI | 1740340132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH THIBODEAU Revenue Manager 207-878-9663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME 494640) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2024-11-25 |