| Discovery House Wc, Inc. | |
|
12 Beech St Suite 2 Calais ME 04619-1203 | |
| (207) 454-1300 | |
| (207) 454-1332 |
| Full Name | Discovery House Wc, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 12 Beech St, Calais, Maine |
| Authorized Official Name and Position | Brian Phillip Farley (VP & SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Discovery House Wc, Inc. 6183 Paseo Del Norte Ste 200 Carlsbad CA 92011-1151 Ph: (615) 861-6000 | Discovery House Wc, Inc. 12 Beech St Suite 2 Calais ME 04619-1203 Ph: (207) 454-1300 |
| NPI Number | 1710986583 |
|---|---|
| Provider Enumeration Date | 07/14/2005 |
| Last Update Date | 08/14/2023 |
| Certification Date | 08/14/2023 |
| Medicare PECOS PAC ID | 2365877909 |
|---|---|
| Medicare Enrollment ID | O20200108003010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710986583 | NPI | - | NPPES |
| 431871700 | Medicaid | ME |
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