| NPI | 1053680744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE LOUISE MONAHAN Therapist 207-947-0366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME XL3735) |
| Enumeration Date | 2011-12-24 |
| Last Update Date | 2011-12-24 |