| NPI | 1740050434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL N GASPER Owner/Provider 207-530-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2024-01-24 |