NPI | 1790383693 |
---|---|
Doing Business As | BANYAN HEALTH |
Entity Type | Organization |
Authorized Contact | LOUIS B. OTT President 207-712-1531 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2020-10-13 |
Last Update Date | 2020-10-13 |