| NPI | 1043968936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA LYNN OSTROWSKI Mental Health Counselor 207-209-0105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2024-02-02 |