Organization
RESTORE WELLNESS CENTER, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE OUELLETTE NP (DIRECTOR)
(207) 989-9008
Entity
Organization
Contact information
Practice address
41 ACME RD, SUITE 2, BREWER, ME 04412-1543
(207) 989-9008
(207) 989-9007
Mailing address
41 ACME RD, SUITE 2, BREWER, ME 04412-1543
(207) 989-9008
(207) 989-9007
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP081148
ME
Other
Enumeration date
11/12/2011
Last updated
11/12/2011
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