| NPI | 1639735715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN A DISHNER President 207-504-7631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-05-14 |