Organization
MANIFEST MAINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY ADAMS LCSW, LADC, CCS (OWNER)
(207) 838-7839
Entity
Organization
Contact information
Practice address
825 MAIN ST, WESTBROOK, ME 04092-2872
(207) 480-3491
(207) 352-5133
Mailing address
20 INKHORN BROOK RD, WINDHAM, ME 04062-4091
(207) 838-7839
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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