Organization
WELLNESS CENTER OF MAINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER JAMES MCGARY (BUSINESS MANAGER)
(207) 717-5627
Entity
Organization
Contact information
Practice address
1048 SOUTH ST, DOVER FOXCROFT, ME 04426-1232
(207) 564-3000
(207) 422-7339
Mailing address
PO BOX 29, DOVER FOXCROFT, ME 04426-0029
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
163W00000X
Registered Nurse
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194954024
INDIVIDUAL NPI
ME
Enumeration date
03/08/2022
Last updated
03/08/2022
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