| NPI | 1841756988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY-JO FAIRBROTHER Clinical Director & Sud Counselor 207-573-4722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2024-04-14 |