| NPI | 1780892612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA H. FLORES Therapist 207-625-4525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ME CC953) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: ME SP277) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2010-05-20 |