| NPI | 1952685349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE MICHELLE HERRICK Executive Director 207-571-9923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME MC13264) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |