| NPI | 1932822947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA RUTH FEAGA Owner And Provider 207-659-5160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2024-10-08 |