| Eq Maine Llc | |
|
233 Village View Street Wilton ME 04294 | |
| (207) 491-6014 | |
| (888) 876-3908 |
| Full Name | Eq Maine Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 233 Village View Street, Wilton, Maine |
| Authorized Official Name and Position | Eric Rutberg (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2074916014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eq Maine Llc Po Box 1082 Wilton ME 04294-1082 Ph: (207) 491-6014 | Eq Maine Llc 233 Village View Street Wilton ME 04294 Ph: (207) 491-6014 |
| NPI Number | 1255070041 |
|---|---|
| Provider Enumeration Date | 06/01/2022 |
| Last Update Date | 06/01/2022 |
| Certification Date | 05/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255070041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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