| NPI | 1295825453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER COOSE Director/Supervisor 207-780-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME #LC1188LADC) |
| Additional Taxonomies | 251S00000X (Licence: ME 474458) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2008-10-01 |