| 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 |