Organization
INSIGHTS FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA A GRAY LCSW (EXECUTIVE DIRECTOR)
(207) 942-5055
Entity
Organization
Contact information
Practice address
607 HUDSON RD, GLENBURN, ME 04401-1406
(207) 944-3804
Mailing address
PO BOX 623, BANGOR, ME 04402-0623
(207) 942-5055
(207) 942-7013
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
530640
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
245530099
—
ME
Enumeration date
06/09/2011
Last updated
06/09/2011
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