NPI | 1790919421 |
---|---|
Entity Type | Organization |
Authorized Contact | TOBY A. ANSFIELD President 207-756-8866 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME PS1020) |
Enumeration Date | 2009-05-09 |
Last Update Date | 2012-02-20 |