| NPI | 1043763097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN ELIZABETH GROUSD Owner 207-650-8906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC4380) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |