| NPI | 1720372543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE SPENCER Clinical Social Worker 207-739-2646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC10606) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME CC2197) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2011-06-09 |