| NPI | 1487456588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY MILLBURY Owner 207-808-0432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-04-08 |