| NPI | 1831368042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL S GUERRETTE Billing Manager 207-760-7024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME 016605) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2023-06-15 |