| NPI | 1053805945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE E GULOWSEN President / Mh & Sa Counselor 207-370-9397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC16682) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ME LC16682) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC16682) | |
| 101YM0800X Counselor, Mental Health (Licence: ME LC16682) | |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-12-10 |