| NPI | 1104587336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON LYNNE MCGRATH Ma/Lcpc/Lmhc 207-844-0577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2022-01-10 |