| NPI | 1326592940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNIE ELIZABETH GIBERSON Sole Member 207-772-0779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC3054) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |