| NPI | 1205182466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE WHITE Clinical Social Worker 207-649-4047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC7959) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2012-11-26 |