| Cognitive Community Care Llc | |
|
415 Congress St Ste 408 Portland ME 04101-3500 | |
| (207) 329-3292 | |
| Not Available |
| Full Name | Cognitive Community Care Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 415 Congress St Ste 408, Portland, Maine |
| Authorized Official Name and Position | Leah Nicole Killinger (CEO) |
| Authorized Official Contact | 2073293292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive Community Care Llc 36 Beaufort St South Portland ME 04106-4624 Ph: (207) 329-3292 | Cognitive Community Care Llc 415 Congress St Ste 408 Portland ME 04101-3500 Ph: (207) 329-3292 |
| NPI Number | 1417713363 |
|---|---|
| Provider Enumeration Date | 02/27/2024 |
| Last Update Date | 02/27/2024 |
| Certification Date | 02/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417713363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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