Organization
OUTPATIENT CHEMICAL DEPENDENCY AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WARREN L CURTIS LADC (DIRECTOR)
(207) 990-1941
Entity
Organization
Contact information
Practice address
185 HARLOW ST, BANGOR, ME 04401-9101
(207) 990-1941
(207) 990-2601
Mailing address
185 HARLOW STREET, BANGOR, ME 04401
(207) 990-1941
(207) 990-2601
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
265582
ME
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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