| NPI | 1811470826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGGUS YAHR Director 207-210-4490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-09-14 |