| NPI | 1275136517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHASE ED CARDURNS Authorized Official 207-530-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2023-01-30 |