| 10 Forward Llc | |
|
69 Sewall Street Ste. 3 Augusta ME 04330 | |
| (207) 491-4530 | |
| Not Available |
| Full Name | 10 Forward Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 69 Sewall Street, Augusta, Maine |
| Authorized Official Name and Position | Catherine Carson-gabriel (CEO / EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2074914530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 10 Forward Llc 69 Sewall Street Ste. 3 Augusta ME 04330 Ph: (207) 491-4530 | 10 Forward Llc 69 Sewall Street Ste. 3 Augusta ME 04330 Ph: (207) 491-4530 |
| NPI Number | 1972192938 |
|---|---|
| Provider Enumeration Date | 01/14/2021 |
| Last Update Date | 01/14/2021 |
| Certification Date | 01/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972192938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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