Organization
WELLSPRING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA KIMBALL LADC, CCS (EXECUTIVE DIRECTOR)
(207) 941-1612
Entity
Organization
Contact information
Practice address
98 CUMBERLAND ST, BANGOR, ME 04401-5234
(207) 947-1600
Mailing address
253 HAMMOND ST, BANGOR, ME 04401-4610
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
LC5334
ME
Other
Enumeration date
12/26/2014
Last updated
12/26/2014
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