| NPI | 1265078737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL BARNES KRAWLETZ Co Owner/Co Operator/Clinician 207-265-6445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |