| NPI | 1861610149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY J WEGRZYN Executive Director 207-255-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME 221621) |
| Additional Taxonomies | 251S00000X (Licence: ME 221621) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |