NPI | 1073343729 |
---|---|
Entity Type | Organization |
Authorized Contact | MICAH G MALENFANT Psychiatric Nurse Practitioner 207-756-9819 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-08-07 |
Last Update Date | 2024-08-07 |