| NPI | 1518575208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY BERNACCHIA Owner 207-890-9409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-07-19 |
| Last Update Date | 2022-06-06 |