| Good Shepherd Community Services Llc | |
|
1 Stockman Ave Saco ME 04072-1636 | |
| (207) 650-3626 | |
| Not Available |
| Full Name | Good Shepherd Community Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1 Stockman Ave, Saco, Maine |
| Authorized Official Name and Position | Pauline Ndjeka Lumumba (CEO) |
| Authorized Official Contact | 2076503626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Shepherd Community Services Llc 1 Stockman Ave Saco ME 04072-1636 Ph: (207) 650-3626 | Good Shepherd Community Services Llc 1 Stockman Ave Saco ME 04072-1636 Ph: (207) 650-3626 |
| NPI Number | 1528775905 |
|---|---|
| Provider Enumeration Date | 11/03/2022 |
| Last Update Date | 11/03/2022 |
| Certification Date | 11/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528775905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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