| NPI | 1174065015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN PONTBRIAND Sole Owner 207-518-8565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME XL4788) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2021-10-01 |