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2 Old Point Ave Madison ME 04950-1115 | |
(760) 710-0968 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Methadone |
Location | 2 Old Point Ave, Madison, Maine |
Authorized Official Name and Position | Brian Phillip Farley (VP & SECRETARY) |
Authorized Official Contact | 6157169335 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6183 Paseo Del Norte Ste 200 Carlsbad CA 92011-1151 Ph: (760) 710-0968 | 2 Old Point Ave Madison ME 04950-1115 Ph: (760) 710-0968 |
NPI Number | 1407607211 |
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Provider Enumeration Date | 03/29/2024 |
Last Update Date | 04/01/2024 |
Certification Date | 04/01/2024 |
Identifier | Type | State | Issuer |
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1407607211 | NPI | - | NPPES |