| NPI | 1912129032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES UNDERWOOD Superintendent 1207-454-2821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME 251B00000X) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2008-06-13 |