Organization
RENEWED HOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL DAVIS LADC (SOLE MEMBER)
(207) 329-5864
Entity
Organization
Contact information
Practice address
60 PINE ST, SUITE 1, LEWISTON, ME 04240-7214
(207) 212-6957
Mailing address
143 HARMONS BEACH RD, STANDISH, ME 04084-5621
(207) 329-5864
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LC4139
ME
Other
Enumeration date
07/25/2009
Last updated
02/08/2012
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