| NPI | 1902232127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LANDRY Owner 207-271-8105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME LC13426) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2015-01-05 |