| Core Elements Llc | |
|
510 Main St Ofc 206 Gorham ME 04038-1339 | |
| (207) 318-2901 | |
| (207) 222-0066 |
| Full Name | Core Elements Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 510 Main St Ofc 206, Gorham, Maine |
| Authorized Official Name and Position | Justin Edwin Brown (CO-FOUNDER AND CLINICIAN) |
| Authorized Official Contact | 2073182901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Elements Llc 510 Main St Ofc 206 Gorham ME 04038-1339 Ph: (207) 318-2901 | Core Elements Llc 510 Main St Ofc 206 Gorham ME 04038-1339 Ph: (207) 318-2901 |
| NPI Number | 1437735172 |
|---|---|
| Provider Enumeration Date | 03/23/2021 |
| Last Update Date | 03/23/2021 |
| Certification Date | 03/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437735172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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