| New Season 470-471 Treatment Center | |
|
659 Hogan Rd Bangor ME 04401-3626 | |
| (207) 973-0400 | |
| (207) 973-1881 |
| Full Name | New Season 470-471 Treatment Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 659 Hogan Rd, Bangor, Maine |
| Authorized Official Name and Position | Maria Jackson (CFO) |
| Authorized Official Contact | 4073517080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Season 470-471 Treatment Center 2500 Maitland Center Parkway Suite 250 Maitland FL 32751-4174 Ph: (407) 351-7080 | New Season 470-471 Treatment Center 659 Hogan Rd Bangor ME 04401-3626 Ph: (207) 973-0400 |
| NPI Number | 1770799306 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 11/04/2022 |
| Certification Date | 11/04/2022 |
| Medicare PECOS PAC ID | 9739513813 |
|---|---|
| Medicare Enrollment ID | O20191224000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770799306 | NPI | - | NPPES |
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