NPI | 1619571973 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDRNA ERICA CHRISTOPHER Owner 207-316-2609 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2020-11-27 |
Last Update Date | 2023-09-13 |