| NPI | 1851698336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LUNDEN Executive Director 207-699-4325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME 613749) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-04-29 |