| NPI | 1871007393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL LYNN FILLMORE Director 207-343-1648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME XL4670) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |