| NPI | 1982390555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA LYNN YORK Executive Director 207-513-6051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2023-04-17 |