Organization
AMISTAD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN TOWNSEND LCPC (EXECUTIVE DIRECTOR)
(207) 773-1956
Entity
Organization
Contact information
Practice address
103 INDIA ST, PORTLAND, ME 04101-4211
(207) 773-1956
Mailing address
103 INDIA ST, PORTLAND, ME 04101-4211
(207) 773-1956
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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