| NPI | 1316619810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIE KIDUGA Member 207-409-7502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2021-10-02 |
| Last Update Date | 2021-10-02 |