| Casco Bay Community Support Services | |
|
2 Forest Cir Portland ME 04103-1125 | |
| (207) 899-8648 | |
| Not Available |
| Full Name | Casco Bay Community Support Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2 Forest Cir, Portland, Maine |
| Authorized Official Name and Position | Amy Elizabeth Mihill (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2078998648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casco Bay Community Support Services 2 Forest Cir Portland ME 04103-1125 Ph: (207) 899-8648 | Casco Bay Community Support Services 2 Forest Cir Portland ME 04103-1125 Ph: (207) 899-8648 |
| NPI Number | 1659763696 |
|---|---|
| Provider Enumeration Date | 02/27/2015 |
| Last Update Date | 02/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659763696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 683108 (Maine) | Primary |
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