Organization
BORDEN COTTAGE TREATMENT FACILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM RODMAN (CHIEF EXECUTIVE OFFICER)
(207) 236-3595
Entity
Organization
Contact information
Practice address
235 BAY VIEW ST, CAMDEN, ME 04843-2251
(207) 236-3595
Mailing address
PO BOX 799, CAMDEN, ME 04843-0799
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
273Y00000X
Rehabilitation Hospital Unit
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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