| NPI | 1598069312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E MERLE BRAGDON Owner 207-772-1570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: ME PS742) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: ME PS1124) |
| Enumeration Date | 2011-01-09 |
| Last Update Date | 2011-01-09 |