NPI | 1053345918 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH A GRAY Chief Executive Officer 207-764-6825 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME 429704) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2023-06-20 |