Organization Name: | ACADIA FAMILY CENTER |
NPI Number: | 1114144813 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHELE DENISE MARKS (OFFICE MANAGER) |
Mailing Address: | 1 Fernald Point Rd Southwest Harbor |
State: | ME US |
Postal Code: | 046794614 |
Phone Number: | 2072444012 |
Fax Number: | 2072444013 |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0850X |
License Number: | 525239 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | ME |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Mental Health |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |