NPI | 1255689832 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN STJAMES Owner/Provider 207-504-1060 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC5296) |
Enumeration Date | 2012-08-29 |
Last Update Date | 2015-02-23 |