| NPI | 1881422608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE OBENAUER Pmhnp 207-309-8118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-11-13 |