| 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 (Licence: ME 1813) |
| 207Q00000X Family Medicine (Licence: ME 1813) | |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2015-03-16 |