| NPI | 1386061174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY SKINNER President 207-650-1393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: ME MD18501) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME MD18501) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2014-03-18 |