| NPI | 1609474824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY E LEVY Executive Director 207-850-9011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 171100000X Acupuncturist |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |