| NPI | 1689489189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA "LIZA" FOLK Clinician 207-281-4234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-11 |