Organization
FRONTIERS WELLNESS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASSOUMANI CADEAU (CHIEF EXECUTIVE OFFICER)
(347) 720-0732
Entity
Organization
Contact information
Practice address
991 FOREST AVE, PORTLAND, ME 04103-3391
(347) 720-0732
Mailing address
72 OAK ST APT 411, PORTLAND, ME 04101-7503
(347) 720-0732
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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