Full Name | Ingraham |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 50 Monument Sq, Portland, Maine |
Authorized Official Name and Position | Jane Morrison (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2078741055 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ingraham Po Box 1868 Portland ME 04104-1868 Ph: (207) 874-1055 | Ingraham 50 Monument Sq Portland ME 04101-4039 Ph: (207) 874-1055 |
NPI Number | 1033216106 |
---|---|
Provider Enumeration Date | 09/20/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033216106 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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Catholic Charities Maine Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 307 Congress Street, Portland, ME 04101 Phone: 207-781-8550 Fax: 207-781-8560 | |
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