NPI | 1952360760 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLI STAR FOX CEO/President 207-773-8886 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (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 |