| NPI | 1962553065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY G. RASMUSSEN President 207-872-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ME 491) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2008-03-17 |