| NPI | 1588426266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN NIZEYE JENSON CEO 207-699-6134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |