| 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 |