| NPI | 1164484093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL GOODINE Billing 207-893-0386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: ME 212936) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 1041C0700X Social Worker, Clinical | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: ME 227222) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: ME 221141) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2025-04-11 |