| NPI | 1992702955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY HAYNES-RODGERS Executive Director 207-874-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: ME 229743) |
| Additional Taxonomies | 251B00000X Case Management (Licence: ME 229743) |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2009-01-23 |