| NPI | 1982949699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ZENGA Director Of Operations 207-373-0620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME 392123) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |