| City Of Portland Maine | |
|
272 Congress St Portland ME 04101-3637 | |
| (207) 874-2466 | |
| (207) 874-4625 |
| Full Name | City Of Portland Maine |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 272 Congress St, Portland, Maine |
| Authorized Official Name and Position | Jon P Jennings (CITY MANAGER) |
| Authorized Official Contact | 2078748689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| City Of Portland Maine 389 Congress St Room 307 Portland ME 04101-3566 Ph: (207) 874-8784 | City Of Portland Maine 272 Congress St Portland ME 04101-3637 Ph: (207) 874-2466 |
| NPI Number | 1588990261 |
|---|---|
| Provider Enumeration Date | 10/30/2009 |
| Last Update Date | 10/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588990261 | NPI | - | NPPES |
| 136041011 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Soul Sanctuary, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1519 Forest Ave, Portland, ME 04103 Phone: 617-690-9020 | |
Catholic Charities Maine Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 307 Congress Street, Portland, ME 04101 Phone: 207-781-8550 Fax: 207-781-8560 | |
Dani Fazio Psychotherapy Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 57 Exchange St Ste 203, Portland, ME 04101 Phone: 207-618-6588 Fax: 207-203-6480 | |
Ingraham Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Monument Sq, Portland, ME 04101 Phone: 207-874-1055 Fax: 207-774-5901 | |
Alliance Residential Care, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 58 Boyd St Apt 501, Portland, ME 04101 Phone: 860-710-6770 | |
Scrx-lifetransitions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Saint John St Ste 208, Portland, ME 04102 Phone: 207-891-8618 | |
Lauren Grousd Lcpc Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 440 Forest Ave, Portland, ME 04101 Phone: 207-650-8906 Fax: 207-221-2130 |