NPI 1952709529

Carroll L Ackley, LADCCCS

Practitioner Methadone Clinic Bangor, ME

Practice location

Address: 74 Dowd Rd, Bangor, ME 04401-6700
Phone: (207) 947-6800
Fax: (207) 947-6872

Registered specialties

Methadone Clinic Primary

Ambulatory Health Care Facilities Taxonomy 261QM2800X Licence LC1222 (ME)

Other Clinic/Center providers in Maine →

Registry record

NPI: 1952709529
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Dec 2014
Record last updated: 15 Dec 2014

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.