| NPI | 1760993877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WILCOM MILLER Owner 207-239-6406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME MH454002) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME SAA221462) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2018-03-17 |