| NPI | 1588355713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY E GOODE Clinical Social Worker/Therapist 207-272-0744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-09-20 |