Outpatient Chemical Dependency Agency

NPI 1275723371 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1275723371
Enumeration Date 07/26/2007
Last Updated 07/26/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WARREN L WARREN
Position DIRECTOR
Phone (207) 990-1941
Fax (207) 990-2601
Practice Location
185 HARLOW ST
BANGOR ME, 04401-9101, US
Phone (207) 990-1941
Fax (207) 990-2601
Business Location
185 HARLOW STREET
BANGOR ME, 04401, US
Phone (207) 990-1941
Fax (207) 990-2601
Toxanomy
Taxonomy Code 324500000X
License State Maine
License Number 265582
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According to our database, Outpatient Chemical Dependency Agency NPI is 1275723371, taxonomy code is 324500000X and license number is 265582, license state is located at Maine. Outpatient Chemical Dependency Agency physically located at 185 Harlow St, Bangor ME, 04401-9101. NPI Number 1033115704 has the healthcare provider type.

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1275723371 NPI number is provided on an as is basis without warranty of any kind. 1275723371 is maintained by the National Plan & Provider Enumeration System. The contents of Outpatient Chemical Dependency Agency are for informational purposes only.