| NPI | 1114674249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JAMES MCGARY Business Manager 207-717-5627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2022-03-08 |