| E.c.c.o. | |
|
12 Cross St Skowhegan ME 04976-1810 | |
| (207) 612-6308 | |
| Not Available |
| Full Name | E.c.c.o. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12 Cross St, Skowhegan, Maine |
| Authorized Official Name and Position | Elijah Soll (CEO) |
| Authorized Official Contact | 2076126308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E.c.c.o. 12 Cross St Skowhegan ME 04976-1810 Ph: (207) 612-6308 | E.c.c.o. 12 Cross St Skowhegan ME 04976-1810 Ph: (207) 612-6308 |
| NPI Number | 1427407477 |
|---|---|
| Provider Enumeration Date | 06/10/2016 |
| Last Update Date | 03/09/2020 |
| Certification Date | 03/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427407477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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