BONNIE RAE CONDON is a community based residential treatment facility mental illness in Portage Lake, ME. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. BONNIE RAE CONDON NPI is 1629218409. The provider is registered as an organization entity type.
The provider's business location address is:
3101 PORTAGE RD
PORTAGE LAKE, ME
ZIP 04768-111
Phone: (207) 435-6726
Fax: (207) 435-6949
The provider's authorized official is Bonnie Rae Condon .
The authorized official title is Care Provider and has the following contact phone number (207) 435-6726.
The enumeration date for this NPI number is 3/6/2009 and was last updated on 3/6/2009.