| 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 |