Whalio Doctors

NPI 1205273786

Manna INC.

Organisation Substance Abuse Rehabilitation Facility Bangor, ME

Practice location

Address
629 Main St, Bangor, ME 04401-6848
Phone
(207) 990-2870

Authorised official

Name
William Rae
Title
Ceo
Phone
(207) 990-2870

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence CAC4364 (ME)

Registry record

NPI
1205273786
Entity type
Organization
NPI issued
24 May 2013
Record last updated
24 May 2013

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.