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, Psych/Mental Health, Adult | |
363L00000X Nurse Practitioner | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2023-08-03 |
Last Update Date | 2023-08-03 |