| Heavens Recovery And Case Management Llc | |
|
2338 Congress St Portland ME 04102-1908 | |
| (207) 636-0009 | |
| Not Available |
| Full Name | Heavens Recovery And Case Management Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2338 Congress St, Portland, Maine |
| Authorized Official Name and Position | Jocelyne Ininahazwe (CEO) |
| Authorized Official Contact | 2076360009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heavens Recovery And Case Management Llc 2338 Congress St Portland ME 04102-1908 Ph: (207) 636-0009 | Heavens Recovery And Case Management Llc 2338 Congress St Portland ME 04102-1908 Ph: (207) 636-0009 |
| NPI Number | 1568282622 |
|---|---|
| Provider Enumeration Date | 10/14/2024 |
| Last Update Date | 10/14/2024 |
| Certification Date | 10/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568282622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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