| NPI | 1063044394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON BISHOP Chief Program Officer 207-602-8683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2024-01-22 |