| NPI | 1013955947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE A SCOTT Contracter 207-781-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1223G0001X Dentist, General Practice | |
| 124Q00000X Dental Hygienist | |
| 126800000X Dental Assistant | |
| 101YS0200X Counselor, School | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 104100000X Social Worker | |
| 1041S0200X Social Worker, School | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2010-11-29 |