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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