Organization
WATERS EDGE THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNE M HOWARD-MORAND LCSW (CLINICAL DIRECTOR)
(207) 530-0880
Entity
Organization
Contact information
Practice address
8 WATER ST, SUITE 2, OAKLAND, ME 04963-4956
(207) 530-0880
Mailing address
8 WATER ST, SUITE 2, OAKLAND, ME 04963-4956
(207) 530-0880
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356619670
MAINE CARE
ME
Enumeration date
03/03/2015
Last updated
03/03/2015
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