Organization
A TIME TO RISE - COUNSELING & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY-JO FAIRBROTHER LADC (CLINICAL DIRECTOR & SUD COUNSELOR)
(207) 573-4722
Entity
Organization
Contact information
Practice address
12 ACME RD STE 207, BREWER, ME 04412-1546
(207) 573-4722
Mailing address
12 ACME RD STE 207, BREWER, ME 04412-1546
(207) 573-4722
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2019
Last updated
07/22/2024
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