| NPI | 1922592096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY ISAAC HILTZ Executive Director 207-440-7922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2021-03-25 |