# CHARLOTTE WHITE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003059049
- **Authorized official:** MR. RICHARD M. BROWN (CEO)
- **Authorized official phone:** (207) 564-2464

## Contact information

- **Practice address:** 572 BANGOR RD, DOVER FOXCROFT, ME 04426-3373
- **Practice address phone:** (207) 564-2464
- **Practice address fax:** (207) 564-2404
- **Mailing address:** 572 BANGOR RD, DOVER FOXCROFT, ME 04426-3373
- **Mailing address phone:** (207) 564-2464
- **Mailing address fax:** (207) 564-2404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/07/2009
- **Last updated:** 04/07/2009