| NPI | 1841855301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE W JORDAN CEO 207-808-1384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |