| NPI | 1700912656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY NAGER President And CEO 339-777-5446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult |
| 103TC0700X Psychologist, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363AM0700X Physician Assistant, Medical (Licence: NH 0498) | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family (Licence: ME RN38239) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2021-10-04 |