BANGOR DETOX AND RECOVERY; NPI #1447915392

Contact Information

BANGOR DETOX AND RECOVERY

80 EXCHANGE ST STE 502
BANGOR, ME 04401-7914

Phone: 207-408-7649
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation, Substance Use Disorder	261QR0405X

Indicates primary specialty

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NPI Profile & details for BANGOR DETOX AND RECOVERY

NPI Number	`1447915392`
LBN Legal business name	BANGOR DETOX AND RECOVERY
Authorized official	NATHAN CERMELJ - (OWNER AND DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/05/2021
Last updated	03/07/2022 - About 4 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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