| NPI | 1407349202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE ANN REDFIELD Executive Director 207-595-4413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME MHA733747) |
| Additional Taxonomies | 251B00000X Case Management (Licence: ME MHA733747) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2018-06-08 |