| NPI | 1215107644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN M TRUSLOW Owner 207-878-0094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME R040324) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME R040324) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2012-07-27 |