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28 State St Ste 5 Gorham ME 04038-1147 | |
| (207) 894-4278 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 28 State St Ste 5, Gorham, Maine |
| Authorized Official Name and Position | Jamie Racine (OWNER) |
| Authorized Official Contact | 2078944278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
28 State St Ste 5 Gorham ME 04038-1147 Ph: (207) 894-4278 | 28 State St Ste 5 Gorham ME 04038-1147 Ph: (207) 894-4278 |
| NPI Number | 1235700709 |
|---|---|
| Provider Enumeration Date | 07/06/2021 |
| Last Update Date | 07/09/2021 |
| Certification Date | 07/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235700709 | NPI | - | NPPES |
Deborah J Devine Psyd, Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Mechanic St, Gorham, ME 04038 Phone: 207-839-2450 Fax: 207-839-6469 | |
The Integrated Life Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 28 State St Ste 5, Gorham, ME 04038 Phone: 207-894-4278 | |
Southwestern Maine Clinical Assoc Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Mechanic St, Gorham, ME 04038 Phone: 207-839-2587 Fax: 207-839-2022 | |
Chelsea Feeney, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Main St Ste 203, Gorham, ME 04038 Phone: 207-523-9496 |