Good Shepherd Community Services Llc | |
1 Stockman Ave Saco ME 04072-1636 | |
(207) 650-3626 | |
Not Available |
Full Name | Good Shepherd Community Services Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 1 Stockman Ave, Saco, Maine |
Authorized Official Name and Position | Pauline Ndjeka Lumumba (CEO) |
Authorized Official Contact | 2076503626 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Good Shepherd Community Services Llc 1 Stockman Ave Saco ME 04072-1636 Ph: (207) 650-3626 | Good Shepherd Community Services Llc 1 Stockman Ave Saco ME 04072-1636 Ph: (207) 650-3626 |
NPI Number | 1528775905 |
---|---|
Provider Enumeration Date | 11/03/2022 |
Last Update Date | 11/03/2022 |
Certification Date | 11/03/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528775905 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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