OrganizationActive
Bonnie Rae Condon
NPI 1629218409 · Mental Illness Community Based Residential Treatment Facility · Portage Lake, ME
Provider details
- NPI number
- 1629218409
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Bonnie Condon, Care Provider
Practice location
3101 Portage Rd
Portage Lake, ME 04768-3111
Phone: (207) 435-6726
Fax: (207) 435-6949
Mailing address
3101 Portage Rd
Portage Lake, ME 04768-3111
Registry dates
- Enumerated
- 2009-03-06
- Last updated
- 2009-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.