Organization Name: | THE UMBRELLA AGENCY |
NPI Number: | 1013311521 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARJORIE E AVERILL (PRESIDENT) |
Mailing Address: | 73 Biscay Rd Damariscotta |
State: | ME US |
Postal Code: | 04543 |
Phone Number: | 2075633022 |
Fax Number: | 2075636146 |
NPI Enumeration Date: | 10/13/2014 |
NPI Last Update Date: | 02/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 682863 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |