| NPI | 1487432266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA MARISTANY Therapist 207-331-4371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2024-02-07 |