Organization
GRACE STREET SERVICES, LLC
Active
Other names
88 Oxford Street
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY BOYLE (BILLING CONTACT)
(207) 514-0832
Entity
Organization
Contact information
Practice address
88 OXFORD ST, LEWISTON, ME 04240-7825
(270) 795-0149
Mailing address
550 LISBON ST, LEWISTON, ME 04240-6580
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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