| NPI | 1942470349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J FITZGERALD Director 207-871-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME LMFT460) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |