| NPI | 1598595688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAX JAMES LOUISON-SEMROW Clinician / Sole Proprietor 207-200-4351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-08-05 |