Whalio Doctors

NPI 1073751277

Independence Project LLC

Organisation Addiction (Substance Use Disorder) Counselor Bangor, ME

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
Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 467117 (ME)

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.