| NPI | 1770092652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA ANTKIES President 207-613-6263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC16134) |
| Enumeration Date | 2017-09-24 |
| Last Update Date | 2017-09-24 |