| NPI | 1538121074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL GOODINE Billing Specialist 207-893-0386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME CC2493) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical (Licence: ME LC5406) | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2022-07-21 |