| NPI | 1164047189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN BERUBE CEO 207-651-1287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 261Q00000X Clinic/Center | |
| 101Y00000X Counselor | |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2021-07-08 |