| NPI | 1225006380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA G. COWAN Administrator 207-794-2150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ME 266141) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2011-04-04 |