Full Name | Novis Vita Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 47 Maple St, Saco, Maine |
Authorized Official Name and Position | Doriane Gusa Kaneza (MEMBER) |
Authorized Official Contact | 2075779756 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Novis Vita Llc 47 Maple St Saco ME 04072-3131 Ph: (207) 577-9756 | Novis Vita Llc 47 Maple St Saco ME 04072-3131 Ph: (207) 577-9756 |
NPI Number | 1639860570 |
---|---|
Provider Enumeration Date | 05/19/2023 |
Last Update Date | 05/19/2023 |
Certification Date | 05/19/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639860570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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