| NPI | 1891122420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY JO EVANS Licensed Clinical Social Worker 207-255-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME LC3498) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-09-27 |