| NPI | 1962718049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY MARIE ANDERSON Case Manager 207-761-8402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: ME LS11216) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-26 |