| NPI | 1245845130 |
|---|---|
| Doing Business As | CRESCENT PSYCHOTHERAPY, LLC |
| Entity Type | Organization |
| Authorized Contact | TRACEY S MADIGAN Provider 207-560-6033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2024-05-01 |