| Hope Community Support Services Llc | |
|
19 Avalon Rd Portland ME 04103-1112 | |
| (207) 253-9625 | |
| Not Available |
| Full Name | Hope Community Support Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 19 Avalon Rd, Portland, Maine |
| Authorized Official Name and Position | Nono Mapaya Mukwayanzo (CEO) |
| Authorized Official Contact | 2072539625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Community Support Services Llc 40 Sunnybrook Farm Rd Bridgton ME 04009-4516 Ph: (207) 253-9625 | Hope Community Support Services Llc 19 Avalon Rd Portland ME 04103-1112 Ph: (207) 253-9625 |
| NPI Number | 1922756303 |
|---|---|
| Provider Enumeration Date | 03/14/2022 |
| Last Update Date | 03/14/2022 |
| Certification Date | 03/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922756303 | NPI | - | NPPES |
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