Organization Name: | PARTNERS FOR CHANGE |
NPI Number: | 1013938950 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REBEKKA LEE FREEMAN (PRESIDENT) |
Mailing Address: | 37 E Trout Lane Belfast |
State: | ME US |
Postal Code: | 04915 |
Phone Number: | 2073386055 |
Fax Number: | 2073386038 |
NPI Enumeration Date: | 07/23/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 388643 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |