| NPI | 1942871553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA SHERYL GAGNON Speech Language Pathologist 207-699-9132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2021-07-06 |