| NPI | 1912060294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R. MOSES Licensed Clinical Social Worker 207-783-2980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ME LC6032) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |