| Camp Ketcha | |
|
336 Black Point Rd Scarborough ME 04074-8676 | |
| (207) 883-8977 | |
| (207) 885-0944 |
| Full Name | Camp Ketcha |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 336 Black Point Rd, Scarborough, Maine |
| Authorized Official Name and Position | Thomas Doherty (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2078838977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Camp Ketcha 336 Black Point Rd Scarborough ME 04074-8676 Ph: (207) 883-8977 | Camp Ketcha 336 Black Point Rd Scarborough ME 04074-8676 Ph: (207) 883-8977 |
| NPI Number | 1821401076 |
|---|---|
| Provider Enumeration Date | 06/05/2014 |
| Last Update Date | 06/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821401076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 681191 (Maine) | Primary |
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› Verified 9 days ago
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