| NPI | 1114368867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN BURKE LANE Owner 207-333-3507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC10597) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC8317) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |