WILDER HART

AUGUSTA, ME
NPI1295067734
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME  LC4335)
Enumeration Date2010-02-09
Last Update Date2021-02-02
Business Address
WILDER HART LADC, CCS
10 CALDWELL RD
AUGUSTA, ME 04330-5735
Phone number: 207-626-3448
Mailing Address
WILDER HART LADC, CCS
PO BOX 558
AUGUSTA, ME 04332-0558
Phone number: 207-626-3448