| NPI | 1710191507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE DANZIG Owner Provider 207-893-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME 456899) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |