| Novis Vita Llc | |
|
47 Maple St Saco ME 04072-3131 | |
| (207) 577-9756 | |
| Not Available |
| Full Name | Novis Vita Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 47 Maple St, Saco, Maine |
| Authorized Official Name and Position | Doriane Gusa Kaneza (MEMBER) |
| Authorized Official Contact | 2075779756 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novis Vita Llc 47 Maple St Saco ME 04072-3131 Ph: (207) 577-9756 | Novis Vita Llc 47 Maple St Saco ME 04072-3131 Ph: (207) 577-9756 |
| NPI Number | 1639860570 |
|---|---|
| Provider Enumeration Date | 05/19/2023 |
| Last Update Date | 05/19/2023 |
| Certification Date | 05/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639860570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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