| NPI | 1114367760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY ROGERS Sole Member 207-749-4620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC4011) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC4815) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |