| Beacon Behavior | |
|
68 Bishop St # 3-3 Portland ME 04103-2681 | |
| (207) 210-2672 | |
| Not Available |
| Full Name | Beacon Behavior |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 68 Bishop St # 3-3, Portland, Maine |
| Authorized Official Name and Position | Maria Esmeralda Grunglasse (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2072102672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Behavior 95 Falmouth Rd Falmouth ME 04105-1841 Ph: (207) 210-2672 | Beacon Behavior 68 Bishop St # 3-3 Portland ME 04103-2681 Ph: (207) 210-2672 |
| NPI Number | 1720654627 |
|---|---|
| Provider Enumeration Date | 06/01/2021 |
| Last Update Date | 06/01/2021 |
| Certification Date | 06/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720654627 | NPI | - | NPPES |
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