| NPI | 1912338906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH I BAKER Network Admin 207-453-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME MHA673808) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2017-04-12 |