| NPI | 1760497200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK RAE Director Of Operations 207-990-2870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: ME 453264) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |