| NPI | 1942301650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY MORTON STANFORD Executive Director 207-571-3095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME ME142081) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |