| NPI | 1770313694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE AUBIN ONEAL Clinical Social Worker 207-404-0560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-08-05 |