| NPI | 1497332639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LARRABEE CEO 207-458-5257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2021-03-31 |