| NPI | 1811290018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY A. GREENLAW Counselor 207-784-0922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME CAC4790) |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-09 |