Organization
ADDICTION RESOURCE CENTER
Active
Parent organization
MID COAST HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
MID COAST HOSPITAL
Authorized official
KELLY GLEASON (ADMINISTRATIVE ASSISTANT)
(207) 373-6971
Entity
Organization
Contact information
Practice address
66 BARIBEAU DR, BRUNSWICK, ME 04011-3230
(207) 373-6971
(207) 373-6959
Mailing address
66 BARIBEAU DRIVE, BRUNSWICK, ME 04011
(207) 373-6971
(207) 373-6959
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102140100
—
ME
Enumeration date
11/20/2008
Last updated
11/20/2008
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