| Catholic Charities Of Maine | |
|
66 State St Portland ME 04104 | |
| (207) 871-7431 | |
| (207) 871-7457 |
| Full Name | Catholic Charities Of Maine |
|---|---|
| Speciality | Social Worker |
| Location | 66 State St, Portland, Maine |
| Authorized Official Name and Position | Karl David Parker (CLINICAL SUPERVISOR) |
| Authorized Official Contact | 2078717431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities Of Maine Po Box 797 66 State St Portland ME 04104 Ph: (207) 871-7431 | Catholic Charities Of Maine 66 State St Portland ME 04104 Ph: (207) 871-7431 |
| NPI Number | 1437448826 |
|---|---|
| Provider Enumeration Date | 04/06/2011 |
| Last Update Date | 04/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437448826 | NPI | - | NPPES |
| 100200203 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | CC1955 (Maine) | Primary |
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