| NPI | 1871805507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY L. BERGERON CEO 207-333-3833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME 487539) |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2010-07-10 |