| NPI | 1083396592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CEDRIC MFURANZIMA Administrator 207-650-8140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 106H00000X Marriage & Family Therapist | |
| 106S00000X Behavior Technician | |
| 163W00000X Registered Nurse | |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) | |
| 163WA2000X Registered Nurse Administrator | |
| 163WC0400X Registered Nurse Case Management | |
| 163WN1003X Registered Nurse Nutrition Support | |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult | |
| 363L00000X Nurse Practitioner | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-08-03 |