Organization
FACING CHANGE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETSY A. GREENLAW C.A.D.C. (COUNSELOR)
(207) 784-0922
Entity
Organization
Contact information
Practice address
4 PARK ST, LEWISTON, ME 04240-7172
(207) 784-0922
(207) 784-6143
Mailing address
4 PARK ST, LEWISTON, ME 04240-7172
(207) 784-0922
(207) 784-6143
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CAC4790
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129500000
—
ME
Enumeration date
12/09/2010
Last updated
12/09/2010
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