| Black Bear Support Services, Llc | |
|
571 Sabattus Street Suite 15 Lewiston ME 04240 | |
| (207) 740-0667 | |
| Not Available |
| Full Name | Black Bear Support Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 571 Sabattus Street, Lewiston, Maine |
| Authorized Official Name and Position | Laura Elizabeth Catevenis (OWNER) |
| Authorized Official Contact | 2077400667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Bear Support Services, Llc 571 Sabattus Street Suite 15 Lewiston ME 04240 Ph: () - | Black Bear Support Services, Llc 571 Sabattus Street Suite 15 Lewiston ME 04240 Ph: (207) 740-0667 |
| NPI Number | 1861850828 |
|---|---|
| Provider Enumeration Date | 02/05/2016 |
| Last Update Date | 02/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861850828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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