| NPI | 1902941396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA HENDERLONG Executive Director 207-941-8727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: ME 376101) |
| Additional Taxonomies | 103T00000X Psychologist |
| 251S00000X (Licence: ME 376101) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-09-13 |