| NPI | 1891409025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN C FELLERS Psychiatrist 207-221-0635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 163W00000X Registered Nurse | |
| 207R00000X Internal Medicine | |
| 2083A0300X Preventive Medicine Addiction Medicine | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-03-01 |