| NPI | 1821358128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY ALLEN MILLS Director / Owner 207-689-2057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME CAC4482) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |