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Organization

CHARLOTTE WHITE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD M BROWN (CEO)
(207) 564-2464
Entity
Organization

Contact information

Practice address
572 BANGOR RD, DOVER FOXCROFT, ME 04426-3373
(207) 564-2464
(207) 564-2404
Mailing address
572 BANGOR RD, DOVER FOXCROFT, ME 04426-3373
(207) 564-2464
(207) 564-2404

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
164840500
ME
Enumeration date
04/13/2010
Last updated
04/13/2010
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