| NPI | 1659481786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA ANNE GRAY Executive Director 207-942-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 103TC0700X Psychologist Clinical | |
| 103TF0200X Psychologist Forensic | |
| 101YP2500X Counselor Professional | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-09-19 |