| NPI | 1891833760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDA M. O'DONNELL Director 207-799-1331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC4676) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2012-05-17 |