| NPI | 1912051673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI POLLACK Finance Manager 207-667-7108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, (Licence: ME ME260700) | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |