Organization
GRACE STREET SERVICES, LLC
Active
Organization
GRACE STREET SERVICES, LLC
Active
Other names
Grace Street South
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY BOYLE (BILLING CONTACT)
(207) 245-1800
Entity
Organization
Contact information
Practice address
69 EAGLE DRIVE, SANFORD, ME 04073
(207) 245-1800
Mailing address
550 LISBON ST, LEWISTON, ME 04240-6580
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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