Organization
ENSO RECOVERY LLC
Active
Organization
ENSO RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIPAK DATTANI (DIRECTOR)
(207) 245-1800
Entity
Organization
Contact information
Practice address
90 WESTERN AVE, AUGUSTA, ME 04330-7270
(207) 245-1800
Mailing address
90 WESTERN AVE, AUGUSTA, ME 04330-7270
(207) 245-1800
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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