| NPI | 1134863848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY MACRAE Licensed Clinical Social Worker 207-317-0885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-11-14 |