Organization
MAKING THE IMPOSSIBLE POSSIBLE CASE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL JEAN WITHAM MHRT-C (CASE MANAGER)
(207) 217-6711
Entity
Organization
Contact information
Practice address
273 HAMMOND ST, BANGOR, ME 04401-4610
(207) 217-6711
(207) 217-6712
Mailing address
273 HAMMOND ST, BANGOR, ME 04401-4610
(207) 217-6711
(207) 217-6712
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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