NPI | 1376973651 |
---|---|
Doing Business As | GRACEFUL RECOVERY |
Entity Type | Organization |
Authorized Contact | MERIDETH C NORRIS Owner/Provider 207-604-5034 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: ME ME1813) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: ME 1813) |
207Q00000X Family Medicine (Licence: ME 1813) | |
Enumeration Date | 2013-11-22 |
Last Update Date | 2015-03-16 |