| NPI | 1346791829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKY L. WILLEY Psychologist 207-230-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |