Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BONNIE RAE CONDON
Active OrganizationBONNIE RAE CONDON is a Psychiatric Residential Treatment Facility organization located in PORTAGE LAKE, Maine. NPI 1629218409 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Residential Treatment Facility · PORTAGE LAKE, ME
Registration Details
- NPI Number
- 1629218409
- Provider Type
- Organization
- NPI Issued
- Mar 6, 2009 (17.472788693782 yrs)
- Last Updated
- Mar 6, 2009
Practice Information
- Address
-
3101 PORTAGE RDPORTAGE LAKE, ME, 047683111Browse ME providers · Browse ZIP 04768
- Phone
- 2074356726
- Fax
- 2074356949
- Primary Specialty
-
Psychiatric Residential Treatment Facility
320800000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.