| NPI | 1013311521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJORIE E AVERILL President 207-563-3022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME 682861) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME 682863) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2015-02-09 |