| NPI | 1245846971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN EMILY WORCESTER Clinician / Owner 207-615-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |