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River Trail Counseling And Wellness Center, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) in Skowhegan, ME. Organization (NPI-2).

NPI number1669966347
StatusActive
Last updated in NPPESJun 18, 2018

Details

NPI
1669966347
Entity type
Organization (NPI-2)
Legal business name
River Trail Counseling And Wellness Center, LLC
Organization subpart
No
Enumeration date
Jun 18, 2018
Last updated
Jun 18, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

77 Madison Ave
Skowhegan, ME 04976-1207

Phone 207-613-0055

Mailing address

Po Box 82
Skowhegan, ME 04976-0082

Phone 207-613-0055

Authorized official

Amanda Clark
Owner
2076130055

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