| NPI | 1316060726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KORI SUE ELLIS Director 207-493-3394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP1096) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: ME 261561) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |