| NPI | 1467689786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARI JO ALLEN Executive Director 207-467-8215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ME 572387) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME 572387) | |
| 101YM0800X Counselor, Mental Health (Licence: ME 572387) | |
| 103G00000X Clinical Neuropsychologist (Licence: ME 572387) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: ME 572387) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: ME 572387) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: ME 572387) | |
| 1041C0700X Social Worker, Clinical (Licence: ME 572387) | |
| 106H00000X Marriage & Family Therapist (Licence: ME 572387) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: ME 572387) | |
| 225X00000X Occupational Therapist (Licence: ME 572387) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: ME 572387) | |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2009-06-12 |