| Charlotte White Center | |
|
572 Bangor Rd Dover Foxcroft ME 04426-3373 | |
| (207) 564-2464 | |
| (207) 564-2404 |
| Full Name | Charlotte White Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 572 Bangor Rd, Dover Foxcroft, Maine |
| Authorized Official Name and Position | Richard M Brown (CEO) |
| Authorized Official Contact | 2075642464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charlotte White Center 572 Bangor Rd Dover Foxcroft ME 04426-3373 Ph: (207) 564-2464 | Charlotte White Center 572 Bangor Rd Dover Foxcroft ME 04426-3373 Ph: (207) 564-2464 |
| NPI Number | 1942526181 |
|---|---|
| Provider Enumeration Date | 04/13/2010 |
| Last Update Date | 04/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942526181 | NPI | - | NPPES |
| 164840500 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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