| NPI | 1932454907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER S FOURNIER Credentialing Billing Rep 207-312-1063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: ME CNP81164) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |