| NPI | 1720317282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE CHANDLER President 877-205-2906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL ME52952) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL ME52952) |
| 101YM0800X Counselor, Mental Health (Licence: FL ME52952) | |
| 102L00000X Psychoanalyst (Licence: FL ME52952) | |
| 106H00000X Marriage & Family Therapist (Licence: FL ME52952) | |
| 251B00000X Case Management (Licence: FL 2215A) | |
| 251S00000X (Licence: FL 2215A) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL ME52952) | |
| 261QR0800X Clinic/Center, Recovery Care (Licence: FL 2215A) | |
| 302R00000X Health Maintenance Organization (Licence: FL 2215A) | |
| 305R00000X Preferred Provider Organization (Licence: FL ME52952) | |
| 305S00000X Point of Service (Licence: FL 2215A) | |
| 305S00000X Point of Service (Licence: FL ME52952) | |
| Enumeration Date | 2009-12-12 |
| Last Update Date | 2010-09-16 |