| NPI | 1962713115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JORDAN CAMMACK Occupational Therapist 207-537-3369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: ME CO8403) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |