| NPI | 1790265502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUGENE ANTHONY INZANA SVP Finance, CFO 207-662-2654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: ME 37984) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2024-10-30 |