NPI 1992249775
Avita Brunswick LLC
Practice location
- Address
- 89 Admiral Fitch Way, Brunswick, ME 04011
- Phone
- (207) 729-6222
Authorised official
- Name
- Courtney Freeman
- Title
- Senior Executive Director
- Phone
- (207) 844-0956
Registered specialties
Alzheimer Center (Dementia Center)
Primary
Registry record
- NPI
- 1992249775
- Entity type
- Organization
- NPI issued
- 13 Dec 2016
- Record last updated
- 13 Dec 2016
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.