Organization
CRC RECOVERY INC
Active
Other names
Midcoast Treament Center
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY MOE (CONTROLLER)
(760) 918-8700
Entity
Organization
Contact information
Practice address
44 SCHOOL ST, WARREN, ME 04864-4259
(703) 625-0226
Mailing address
44 SCHOOL ST, WARREN, ME 04864-4259
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
10/19/2010
Last updated
11/05/2010
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