NPI | 1275526303 |
---|---|
Doing Business As | WELLSPRING |
Entity Type | Organization |
Authorized Contact | PATRICIA A. KIMBALL Executive Director Registered Agent 207-941-1612 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: ME 290961) |
Additional Taxonomies | 251S00000X (Licence: ME 291041) |
Enumeration Date | 2005-08-24 |
Last Update Date | 2018-08-17 |