| NPI | 1962952457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L. CASTONGUAY Owner 207-478-5446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0057801) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |