| NPI | 1366055519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE MILLS Owner 207-420-2390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2020-09-14 |