NPI | 1760152276 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER KING Clinical Director 207-489-9393 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101Y00000X Counselor |
101YP2500X Counselor, Professional | |
Enumeration Date | 2021-09-16 |
Last Update Date | 2021-09-16 |