| 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 |