| NPI | 1790453751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE RACINE Executive Director 207-290-1450 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2021-09-02 |