| NPI | 1740867837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY ISAAC HILTZ CEO/Executive Director 207-440-7922 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2021-03-25 |