Organization
TURNING TIDE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL D.C. FULLER-MCMAHAN (PRESIDENT/OWNER)
(207) 594-8433
Entity
Organization
Contact information
Practice address
166 NEW COUNTY ROAD, ROCKLAND, ME 04841
(207) 594-8433
Mailing address
PO BOX 703, ROCKLAND, ME 04841-0703
(207) 594-8433
(207) 594-5499
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
478019
ME
251S00000X
Community/Behavioral Health Agency
604311
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432828600
—
ME
Enumeration date
07/28/2008
Last updated
06/23/2010
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