| A Center For Life Enhancement, Inc. | |
|
100 Maple St Cornish ME 04020-3115 | |
| (207) 625-4525 | |
| Not Available |
| Full Name | A Center For Life Enhancement, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 100 Maple St, Cornish, Maine |
| Authorized Official Name and Position | Anita H. Flores (THERAPIST) |
| Authorized Official Contact | 2076254525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Center For Life Enhancement, Inc. 100 Maple St Cornish ME 04020-3115 Ph: (207) 625-4525 | A Center For Life Enhancement, Inc. 100 Maple St Cornish ME 04020-3115 Ph: (207) 625-4525 |
| NPI Number | 1780892612 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 05/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780892612 | NPI | - | NPPES |
| 131380099 | Medicaid | ME | |
| 131370100 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CC953 (Maine) | Primary |
| 235Z00000X | Speech-language Pathologist | SP277 (Maine) | Secondary |
News Archive
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