| Enso Recovery Llc | |
|
90 Western Ave Augusta ME 04330-7270 | |
| (207) 245-1800 | |
| Not Available |
| Full Name | Enso Recovery Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 90 Western Ave, Augusta, Maine |
| Authorized Official Name and Position | Dipak Dattani (DIRECTOR) |
| Authorized Official Contact | 2072451800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enso Recovery Llc 90 Western Ave Augusta ME 04330-7270 Ph: (207) 245-1800 | Enso Recovery Llc 90 Western Ave Augusta ME 04330-7270 Ph: (207) 245-1800 |
| NPI Number | 1639896533 |
|---|---|
| Provider Enumeration Date | 10/21/2022 |
| Last Update Date | 10/21/2022 |
| Certification Date | 10/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639896533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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