| Alliance Residential Care, Llc | |
|
58 Boyd St Apt 501 Portland ME 04101-7127 | |
| (860) 710-6770 | |
| Not Available |
| Full Name | Alliance Residential Care, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 58 Boyd St Apt 501, Portland, Maine |
| Authorized Official Name and Position | Ruphin Muhaya (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8607106770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Residential Care, Llc 271 Avery St South Windsor CT 06074-3805 Ph: (860) 710-6770 | Alliance Residential Care, Llc 58 Boyd St Apt 501 Portland ME 04101-7127 Ph: (860) 710-6770 |
| NPI Number | 1033828116 |
|---|---|
| Provider Enumeration Date | 11/17/2022 |
| Last Update Date | 11/26/2022 |
| Certification Date | 11/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033828116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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