| Ccs Behavioral At Laim | |
|
3 Willow Run Room A Auburn ME 04210-8501 | |
| (207) 795-6800 | |
| (207) 795-6140 |
| Full Name | Ccs Behavioral At Laim |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3 Willow Run, Auburn, Maine |
| Authorized Official Name and Position | Coleen L Elias (CEO/CFO) |
| Authorized Official Contact | 2075133897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ccs Behavioral At Laim Po Box 95000 Lbx 7660 Philadelphia PA 19195-0001 Ph: (207) 777-8202 | Ccs Behavioral At Laim 3 Willow Run Room A Auburn ME 04210-8501 Ph: (207) 795-6800 |
| NPI Number | 1346695756 |
|---|---|
| Provider Enumeration Date | 05/04/2016 |
| Last Update Date | 10/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346695756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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