Provider Demographics
NPI:1346439346
Name:DOWN EAST SERVICES INC.
Entity Type:Organization
Organization Name:DOWN EAST SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:TRACY
Authorized Official - Last Name:WEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:919-855-1086
Mailing Address - Street 1:306 KENNEDY DR
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560-7856
Mailing Address - Country:US
Mailing Address - Phone:919-855-1086
Mailing Address - Fax:
Practice Address - Street 1:306 KENNEDY DR
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-7856
Practice Address - Country:US
Practice Address - Phone:919-855-1086
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DOWN EAST SERVICES INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health