| NPI | 1952360760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI STAR FOX CEO/President 207-773-8886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: ME 411170) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: ME 246645) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2008-12-01 |