| NPI | 1538158159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN EDWARDS Chief Executive Officer 207-255-4990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ME 229841) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ME 354881) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME 401871) | |
| 103G00000X Clinical Neuropsychologist (Licence: ME 229841) | |
| 103T00000X Psychologist (Licence: ME 229841) | |
| 103T00000X Psychologist (Licence: ME 354881) | |
| 104100000X Social Worker (Licence: ME 229841) | |
| 104100000X Social Worker (Licence: ME 354881) | |
| 106H00000X Marriage & Family Therapist (Licence: ME 229841) | |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2009-02-24 |