| NPI | 1487366191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY M GUAY Owner, Cno 207-991-8703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2022-12-14 |