| Organization Name: | FOOD ADDICTION CHEMICAL DEPENDENCY CONSULTANTS LLC |
| NPI Number: | 1881627958 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DRUSILLA M MYERS (PRESIDENT CEO) |
| Mailing Address: | 650 Main St Suite 103 So Portland |
| State: | ME US |
| Postal Code: | 04106 |
| Phone Number: | 2077744564 |
| Fax Number: | 2077740006 |
| NPI Enumeration Date: | 07/09/2006 |
| NPI Last Update Date: | 08/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 454002 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |