person
Mr. Carroll L Ackley, LADC,CCS
Methadone Clinic in Bangor, Maine
NPI 1952709529

Carroll L Ackley is a Methadone Clinic based in Bangor, ME and is specialized in Methadone. Carroll L Ackley practices in Bangor, ME and has the professional credentials of LADC,CCS. The NPI Number for Carroll L Ackley is 1952709529 and holds a License No. LC1222 (Maine).

The current practice location address for Carroll L Ackley is 74 Dowd Rd, Bangor, ME and can be reached out via phone at 207-947-6800 and via fax at 207-947-6872.

Location: 74 Dowd Rd, Bangor, ME, 04401-6700
person
Provider Profile Details
NPI Number
1952709529
Provider Name
Carroll L Ackley
Credential
LADC,CCS
Provider Entity Type
Individual
Gender
Male
Address
74 Dowd Rd, Bangor, ME, 04401-6700
Phone Number
207-947-6800
Fax Number
207-947-6872
Provider Enumeration Date
12/15/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
74 Dowd Rd
City
State
Zip
04401-6700
Phone Number
207-947-6800
Fax Number
207-947-6872
person
Provider Business Mailing Address Details
Address
74 Dowd Rd
City
State
Zip
04401-6700
Phone Number
207-947-6800
Fax Number
207-947-6872
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
License No.
LC1222 (Maine)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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