| NPI | 1689335184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON MAE JORDAN Director 207-992-0411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251B00000X Case Management |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-01-06 |