| NPI | 1124852165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA LOVEJOY Clinician/Owner 207-406-3448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2024-08-30 |