| Ingraham | |
|
50 Monument Sq Portland ME 04101-4039 | |
| (207) 874-1055 | |
| (207) 774-5901 |
| Full Name | Ingraham |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 50 Monument Sq, Portland, Maine |
| Authorized Official Name and Position | Jane Morrison (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2078741055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ingraham Po Box 1868 Portland ME 04104-1868 Ph: (207) 874-1055 | Ingraham 50 Monument Sq Portland ME 04101-4039 Ph: (207) 874-1055 |
| NPI Number | 1033216106 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033216106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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