NPI | 1073370847 |
---|---|
Entity Type | Organization |
Authorized Contact | LUCIE S GRAVES Mental Health Provider 207-991-3310 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2024-02-28 |
Last Update Date | 2024-02-28 |