| NPI | 1699481424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE MELISSA WESTBERRY Owner And Operator 207-550-7439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-01-29 |