| NPI | 1679172118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENELOPE FAITH SNOW Owner/CEO 207-614-4108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-10-24 |
| Last Update Date | 2021-08-25 |