CARROLL L ACKLEY

BANGOR, ME
NPI1952709529
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QM2800X Clinic/Center, Methadone Clinic
(Licence: ME  LC1222)
Enumeration Date2014-12-15
Last Update Date2014-12-15
Business Address
Mr. CARROLL L ACKLEY LADC, CCS
74 DOWD RD
BANGOR, ME 04401-6700
Phone number: 207-947-6800
Mailing Address
Mr. CARROLL L ACKLEY LADC, CCS
74 DOWD RD
BANGOR, ME 04401-6700
Phone number: 207-947-6800
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