| NPI | 1659486884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONA CERKOVITZ Owner/Provider 207-866-9025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ME 038985) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: ME 038985) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2009-06-22 |