| NPI | 1962734731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE G GERRY Chief Operating Officer 207-324-1137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME 291163) |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2017-08-21 |