| NPI | 1912149667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL GRAHAM Vice President/Owner 207-626-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME 493321) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2009-03-26 |