NPI 1073751277
Independence Project LLC
Practice location
- Address
- 96 Harlow St Suite 340, Bangor, ME 04401-4925
- Phone
- (207) 945-9777
- Fax
- (207) 945-9777
Authorised official
- Name
- David Edward Pelkey
- Title
- Administrator/Member/Owner
- Phone
- (207) 945-9777
Registered specialties
Addiction (Substance Use Disorder) Counselor
Primary
Registry record
- NPI
- 1073751277
- Entity type
- Organization
- NPI issued
- 26 Jan 2009
- Record last updated
- 27 Jan 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.