| NPI | 1841348331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTI SUE BURGESS Billing 207-492-1045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME 013280) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-07-24 |