| NPI | 1518236306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M GRINDLE Owner 207-208-8301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME AP081803) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |