| NPI | 1851628804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE THERESA CARTER Clinician 207-860-8670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME XL3016) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2009-11-12 |