| 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 |