| NPI | 1053918128 |
|---|---|
| Doing Business As | NORTHERN MAINE |
| Entity Type | Organization |
| Authorized Contact | BRIAN PHILLIP FARLEY VP & Secretary 615-861-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2023-08-14 |