| NPI | 1962160341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARDA L LEAVITT Psychologist 207-622-3559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2021-12-02 |