| NPI | 1225439581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL E JOHNSON Psychologist 207-768-1676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME PS1294) |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |