Organization
CREATIVE OPTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN AUGUSTINE (PRESIDENT/CEO)
(207) 949-3582
Entity
Organization
Contact information
Practice address
1660 OHIO ST, BANGOR, ME 04401-2215
(207) 949-3582
(207) 564-3011
Mailing address
PO BOX 284, DOVER - FOXCROFT, ME 04426
(207) 949-3582
(207) 564-3011
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/16/2016
Last updated
08/07/2018
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