Organization
BREAK OF DAY MENTAL HEALTH GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY GREENLEAF (PRESIDENT)
(207) 882-6594
Entity
Organization
Contact information
Practice address
82 GREENLEAF RD, WESTPORT ISLAND, ME 04578-3218
(207) 882-6594
(207) 882-6599
Mailing address
82 GREENLEAF RD, WESTPORT ISLAND, ME 04578-3218
(207) 882-6594
(207) 882-6599
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
590802
ME
253Z00000X
In Home Supportive Care Agency
Primary
590802
ME
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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