| NPI | 1184871196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN W. JOHNSON Licensed Clinical Social Worker 207-729-5644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC4603) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-08-20 |