Organization
CHARLOTTE WHITE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD M BROWN (CEO)
(207) 564-2464
Entity
Organization
Contact information
Practice address
487 GARLAND RD, DEXTER, ME 04930-2652
(207) 564-2464
(207) 564-2404
Mailing address
572 BANGOR RD, DOVER FOXCROFT, ME 04426-3373
(207) 564-2464
(207) 564-2404
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
ALLS 4884
ME
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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