Island Institute For Trauma Recovery

NPI 1174853717 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1174853717
Enumeration Date 01/04/2010
Last Updated 01/20/2016
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name RUDOLPH ALBERT RUDOLPH
Position PARTNER
Phone (207) 571-3008
Fax (207) 571-3263
Practice Location
110 MAIN ST
SUITE 1200
SACO ME, 04072-3509, US
Phone (207) 571-3008
Fax (207) 571-3263
Business Location
110 MAIN ST
SUITE 1200
SACO ME, 04072-3509, US
Phone (207) 571-3008
Fax (207) 571-3263
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
Remove 1174853717 NPI Number
 

According to our database, Island Institute For Trauma Recovery NPI is 1174853717, taxonomy code is 251S00000X Island Institute For Trauma Recovery physically located at 110 Main St, Saco ME, 04072-3509. NPI Number 1033115704 has the healthcare provider type.

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1174853717 NPI number is provided on an as is basis without warranty of any kind. 1174853717 is maintained by the National Plan & Provider Enumeration System. The contents of Island Institute For Trauma Recovery are for informational purposes only.