Edward Little School Based Health Center - Psych Providers | |
77 Harris St Auburn ME 04210-4671 | |
(207) 782-6827 | |
(207) 376-0090 |
Full Name | Edward Little School Based Health Center - Psych Providers |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 77 Harris St, 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 |
---|---|
Edward Little School Based Health Center - Psych Providers Po Box 95000 Lbx 7660 Philadelphia PA 19195-0001 Ph: (207) 777-8202 | Edward Little School Based Health Center - Psych Providers 77 Harris St Auburn ME 04210-4671 Ph: (207) 782-6827 |
NPI Number | 1760774392 |
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Provider Enumeration Date | 05/16/2011 |
Last Update Date | 10/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760774392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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