| NPI | 1659686988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW N BERGLUND Owner 207-712-4711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC6069) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2010-08-11 |