| NPI | 1275923369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN A BROCHU Licensed Clinical Social Worker 207-441-6624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC7597) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2024-10-09 |