| Breathing Space Llc | |
|
132 Main St Suite 205 Bridgton ME 04009-1127 | |
| (207) 212-9512 | |
| Not Available |
| Full Name | Breathing Space Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 132 Main St, Bridgton, Maine |
| Authorized Official Name and Position | Anne W Polak (OWNER) |
| Authorized Official Contact | 2072129512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breathing Space Llc Po Box 445 Bridgton ME 04009-0445 Ph: (207) 212-9512 | Breathing Space Llc 132 Main St Suite 205 Bridgton ME 04009-1127 Ph: (207) 212-9512 |
| NPI Number | 1841573789 |
|---|---|
| Provider Enumeration Date | 09/27/2011 |
| Last Update Date | 09/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841573789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CC3042 (Maine) | Primary |
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