Provider Demographics
NPI:1548768039
Name:R&K LLC
Entity Type:Organization
Organization Name:R&K LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:KATOPIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, CADC, MHRT-C
Authorized Official - Phone:207-400-0270
Mailing Address - Street 1:13 RAILROAD SQUARE
Mailing Address - Street 2:UNIT 1 OFFICE 10
Mailing Address - City:WATERVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04901
Mailing Address - Country:US
Mailing Address - Phone:207-400-0270
Mailing Address - Fax:
Practice Address - Street 1:13 RAILROAD SQUARE
Practice Address - Street 2:UNIT 1 OFFICE 10
Practice Address - City:WATERVILLE
Practice Address - State:ME
Practice Address - Zip Code:04901
Practice Address - Country:US
Practice Address - Phone:207-400-0270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-30
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health