Whalio Doctors

NPI 1275526303

Wellspring, INC.

Organisation Substance Abuse Rehabilitation Facility Bangor, ME

Practice location

Address
255 Hammond St., Bangor, ME 04401-5294
Phone
(207) 941-1612
Fax
(207) 941-1634
Mailing address
98 Cumberland St, Bangor, ME 04401-5234

Authorised official

Name
Patricia A. Kimball
Title
Executive Director Registered Agent
Phone
(207) 941-1612

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 290961 (ME)
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X Licence 291041 (ME)

Registry record

NPI
1275526303
Entity type
Organization
NPI issued
24 Aug 2005
Record last updated
17 Aug 2018

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.