| NPI | 1114363686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATA WELSH Slp, M.A. Ccc 207-777-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 222Q00000X Developmental Therapist | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist Pediatrics | |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2020-07-22 |