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230 Bartlett St Lewiston ME 04240-6578 | |
| (207) 783-4692 | |
| (207) 783-4694 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 230 Bartlett St, Lewiston, Maine |
| Authorized Official Name and Position | Paul E. Johnson (COUNSELOR, REHABILITATION COUNSELOR) |
| Authorized Official Contact | 2077834692 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
230 Bartlett St Lewiston ME 04240-6578 Ph: (207) 783-4692 | 230 Bartlett St Lewiston ME 04240-6578 Ph: (207) 783-4692 |
| NPI Number | 1689921629 |
|---|---|
| Provider Enumeration Date | 08/09/2012 |
| Last Update Date | 08/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689921629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | XL3134 (Maine) | Primary |
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