Organization
CHOICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LONNIE SCOTT PLANTE (ASSISTANT DIRECTOR)
(207) 285-0133
Entity
Organization
Contact information
Practice address
263 MAIN ST STE 1, CORINTH, ME 04427-3023
(207) 285-0133
(207) 285-0190
Mailing address
PO BOX 316, CORINTH, ME 04427-0316
(207) 285-0133
(207) 285-0190
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
568040
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432941000
—
ME
Enumeration date
06/01/2009
Last updated
06/01/2009
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