Organization
RIVER TRAIL COUNSELING AND WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA CLARK LCSW (OWNER)
(207) 613-0055
Entity
Organization
Contact information
Practice address
77 MADISON AVE, SKOWHEGAN, ME 04976-1207
(207) 613-0055
Mailing address
PO BOX 82, SKOWHEGAN, ME 04976-0082
(207) 613-0055
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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