| NPI | 1093492969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER PHILIP COUPE Owner 207-838-4546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-06-30 |