| NPI | 1538122445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYNE VAN BRAMER CEO 207-294-4651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: ME 229941) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2023-03-10 |