| NPI | 1275070823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CONNELLY Manager 207-641-5345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC4388) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |