NPI | 1225604358 |
---|---|
Entity Type | Organization |
Authorized Contact | LONY MUGISHA CEO 207-344-7675 |
Organization Subpart ? | No |
Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
Enumeration Date | 2021-05-30 |
Last Update Date | 2021-05-30 |