| NPI | 1386814085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KETEYIAN Mental Health Counselor 207-667-7735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ME CC304) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |