| NPI | 1427319359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE H PONTTI Licensed Clinical Professional Coun 207-504-2664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CC2454) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME CC2454) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2022-07-21 |