| NPI | 1316217292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA BROWN Owner/Director 207-740-3180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC5039) |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-09 |