NPI | 1346670122 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILIOP DEVEAU Owner/Provider 207-571-3008 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC11770) |
Enumeration Date | 2013-11-15 |
Last Update Date | 2013-11-15 |