| NPI | 1134146798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZA MEYER Practice Manager 207-872-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: ME PS679) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2019-11-11 |