| NPI | 1063141174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY SEALS Network Operations Director 207-573-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2024-05-07 |