| NPI | 1417452079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL HARVELL Owner/Provider 603-361-5174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC14498) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |