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Organization

AN ANGEL'S WING INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBRA LYNN YORK CADC (EXECUTIVE DIRECTOR)
(207) 513-6051
Entity
Organization

Contact information

Practice address
1567 LISBON ST STE 1A, LEWISTON, ME 04240-3545
(207) 241-0624
Mailing address
1567 LISBON ST STE 1A, LEWISTON, ME 04240-3545
(207) 241-0624

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
171M00000X
Case Manager/Care Coordinator
171R00000X
Interpreter
174200000X
Meals Provider
251B00000X
Case Management Agency
251J00000X
Nursing Care Agency
251S00000X
Community/Behavioral Health Agency
Primary
251V00000X
Voluntary or Charitable Agency
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
324500000X
Substance Abuse Rehabilitation Facility
347C00000X
Private Vehicle
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
04/17/2023
Last updated
06/30/2026
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