| NPI | 1144183542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MARIE BUCCI Clinical Counselor 207-408-5186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-12-03 |
| Last Update Date | 2025-12-03 |