| NPI | 1871375113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRECKINRIDGE CAMERON Owner 207-400-6223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2024-03-15 |