Organization
RAVEN HILL INTEGRATED THERAPIES, LLC
Active
Organization
RAVEN HILL INTEGRATED THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY KIRK MOLATCH OTR (PROPRIETOR)
(207) 664-6116
Entity
Organization
Contact information
Practice address
185 STATE ST, SUITE C, ELLSWORTH, ME 04605-1830
(207) 664-6116
Mailing address
185 STATE ST, SUITE C, ELLSWORTH, ME 04605-1830
(207) 664-6116
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1088089
ME
Other
Enumeration date
05/14/2007
Last updated
03/21/2008
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