Provider Demographics
NPI:1851628804
Name:BREAK OF DAY INC.
Entity Type:Organization
Organization Name:BREAK OF DAY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:THERESA
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC-C
Authorized Official - Phone:207-860-8670
Mailing Address - Street 1:462 S STRONG RD
Mailing Address - Street 2:# 4
Mailing Address - City:FARMINGTON
Mailing Address - State:ME
Mailing Address - Zip Code:04938-5112
Mailing Address - Country:US
Mailing Address - Phone:207-860-8670
Mailing Address - Fax:
Practice Address - Street 1:462 S STRONG RD
Practice Address - Street 2:#4
Practice Address - City:FARMINGTON
Practice Address - State:ME
Practice Address - Zip Code:04938-5112
Practice Address - Country:US
Practice Address - Phone:207-860-8670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-12
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL3016251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health