| NPI | 1033964432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKLIN JONES-BANAHAN, LCSW Clinical Director 207-941-0879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-04-19 |