| NPI | 1821401076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS DOHERTY Executive Director 207-883-8977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME 681191) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |