| NPI | 1417977182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA C DEVINE Clinical Director 207-242-0352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME 471481) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |