| NPI | 1962981373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY A RAY Executive Director 207-282-8280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |