| NPI | 1730367285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JENSEN Dr. 207-236-0214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME 1823) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |