| NPI | 1700996063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJORIE ELAINE AVERILL President/Owner 207-563-3022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME 486719) |
| Additional Taxonomies | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: ME 486719) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: ME 486719) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2009-03-13 |