| NPI | 1902182066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN FRAZIER Director 207-874-8225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME LC4960) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-02 |