NPI | 1811124662 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFANY S. PETRONIS Executive Director 207-664-8132 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: ME 609327) |
Enumeration Date | 2009-06-19 |
Last Update Date | 2015-02-13 |