Organization
LIFE BY DESIGN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE GRAY LCSW, LADC, CCS (CEO)
(207) 764-6825
Entity
Organization
Contact information
Practice address
7 HATCH DR, 290, CARIBOU, ME 04736-2159
(207) 492-1653
Mailing address
147 ACADEMY ST, PRESQUE ISLE, ME 04769-3101
(207) 764-8095
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
CAC5029
ME
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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