NPI 1275526303
Wellspring, INC.
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
Community/Behavioral Health Agency
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.