NPI | 1487256186 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN BURO Manager 207-910-6580 |
Organization Subpart ? | No |
Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2020-11-09 |
Last Update Date | 2024-06-03 |