| NPI | 1760600803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME STOREYSMITH Director 207-829-8007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP667) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |