| NPI | 1871321554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIE M MOSKOWITZ Licensed Clinical Social Worker 207-307-0757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-07-23 |