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NPI Code Detail

MEDICARE: METRO TREATMENT OF MAINE LP

MEDICARE: METRO TREATMENT OF MAINE LP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency635889ME
23336C0002XClinic PharmacyPH50001445ME
3261QM2800XMethadone Clinic

General Provider Information

NPI Number : 1952733974
Entity Type Code : Organization
Provider Name (Legal Business Name) : METRO TREATMENT OF MAINE LP
Provider Business Mailing Address
First Line : 2500 MAITLAND CENTER PARKWAY
Second Line : SUITE 250
City : MAITLAND
State : FL
Zip : 32751-4174
Country : US
Telephone Number : 407-351-7080
Fax Number : 407-351-6930
Provider Business Practice Location Address
First Line : 166 NEW COUNTY ROAD
Second Line :
City : ROCKLAND
State : ME
Zip : 04841-5320
Country : US
Telephone Number : 207-596-0312
Fax Number : 207-596-0319
Authorized Official
Title or Position : CFO
Name : MARIA JACKSON
Credential :
Telephone Number : 407-351-7080
Provider Enumeration Date : 08/01/2013
Last Update Date : 11/04/2022

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Directions to “METRO TREATMENT OF MAINE LP ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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