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Organization
COMMON GROUND FRIENDS
Active
Organization
COMMON GROUND FRIENDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGAN O'DONNELL (EXECUTIVE DIRECTOR)
(609) 577-5129
Entity
Organization
Contact information
Practice address
304 HANCOCK ST STE 3B, BANGOR, ME 04401-6573
(207) 990-3626
Mailing address
PO BOX 84, BUCKSPORT, ME 04416-0084
(908) 239-6417
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
261QC1500X
Community Health Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM2800X
Methadone Clinic
—
NULL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NULL
261QR0800X
Recovery Care Clinic/Center
—
NULL
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
NULL
324500000X
Substance Abuse Rehabilitation Facility
—
NULL
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
NULL
3336C0002X
Clinic Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
Other
Enumeration date
03/29/2024
Last updated
08/13/2024
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