| Esm | |
|
776 Riverside Dr Augusta ME 04330-8307 | |
| (207) 622-5946 | |
| (207) 622-4667 |
| Full Name | Esm |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 776 Riverside Dr, Augusta, Maine |
| Authorized Official Name and Position | Heather Ann Ulmer (VICE PRESIDENT) |
| Authorized Official Contact | 2076225946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Esm 776 Riverside Dr Augusta ME 04330-8307 Ph: (207) 622-5946 | Esm 776 Riverside Dr Augusta ME 04330-8307 Ph: (207) 622-5946 |
| NPI Number | 1982955670 |
|---|---|
| Provider Enumeration Date | 09/21/2012 |
| Last Update Date | 10/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982955670 | NPI | - | NPPES |
| 123900000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 237203 (Maine) | Primary |
Esm, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 776 Riverside Dr, Augusta, ME 04330 Phone: 207-622-5946 Fax: 207-622-4667 | |
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