Organization
CONSTELLATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC RUTBERG D. H. ED. (EXECUTIVE DIRECTOR)
(207) 645-7010
Entity
Organization
Contact information
Practice address
284 MAIN ST, SUITE 190, WILTON, ME 04294-3044
(207) 645-7010
(207) 645-7141
Mailing address
284 MAIN ST, SUITE 190, WILTON, ME 04294-3044
(207) 645-7010
(207) 645-7141
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/29/2011
Last updated
08/27/2012
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