| NPI | 1861804064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA C BULGER Manager 207-228-5080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC6035) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |