| NPI | 1538455431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD H CONANT Director 207-475-4156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC3531) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-06-20 |