| An Angel's Wing Inc. | |
|
1155 Lisbon St Lewiston ME 04240-5025 | |
| (207) 513-6051 | |
| Not Available |
| Full Name | An Angel's Wing Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1155 Lisbon St, Lewiston, Maine |
| Authorized Official Name and Position | Debra Lynn York (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2075136051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| An Angel's Wing Inc. 1567 Lisbon St Ste 1a Lewiston ME 04240-3545 Ph: (207) 241-0624 | An Angel's Wing Inc. 1155 Lisbon St Lewiston ME 04240-5025 Ph: (207) 513-6051 |
| NPI Number | 1982390555 |
|---|---|
| Provider Enumeration Date | 04/17/2023 |
| Last Update Date | 04/17/2023 |
| Certification Date | 04/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982390555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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