| NPI | 1578782751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH TERESA GOODIE-SELWOOD Owner 207-797-0032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC4379) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2012-05-14 |