Organization
MAINE OPIOID DEPENDENCY PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE BLAKE SMITH DO (OWNER)
(207) 405-1474
Entity
Organization
Contact information
Practice address
114 STROUDWATER ST, WESTBROOK, ME 04092-4037
(207) 405-1474
(207) 283-9357
Mailing address
219 ROYALL POINT RD, YARMOUTH, ME 04096-5762
(207) 229-2190
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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