| NPI | 1437401262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE IRENE HANDY Owner 207-653-1371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC6646) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC3393) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2013-10-09 |