| NPI | 1356584437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH THIBODEAU Revenue Manager 207-878-9663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2024-11-25 |