| NPI | 1811293343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN A TUCK Executive Director 207-634-3020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME MC12828) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2011-02-01 |