| NPI | 1225583255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFRY BERTRAM SMITH President 207-720-0558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC5455) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2021-11-29 |