| NPI | 1770736274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL K. HYMERS Clinical Director 207-649-0884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME LC7826) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |