Organization
63 WASHINGTON STREET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA K WILLEY (ADMINISTRATOR)
(207) 236-3638
Entity
Organization
Contact information
Practice address
63 WASHINGTON ST, CAMDEN, ME 04843-1581
(207) 236-3638
(207) 236-3638
Mailing address
63 WASHINGTON STREET, CAMDEN, ME 04843
(207) 236-3638
(207) 236-3638
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
ALLS 4136
ME
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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