| NPI | 1134426323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA POLLARD Director 207-208-8301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ME PS1219) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC10927) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME AP081171) | |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2011-02-24 |