Organization
ISLAND INSTITUTE FOR TRAUMA RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUDOLPH ALBERT SKOWRONSKI LCSW (PARTNER)
(207) 571-3008
Entity
Organization
Contact information
Practice address
199 MAIN ST, SACO, ME 04072-1508
(207) 571-3008
Mailing address
PO BOX 1189, SACO, ME 04072-1189
(207) 229-2398
(207) 571-3263
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/04/2010
Last updated
12/08/2022
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