Outlook Ccs, Llc | |
74 Beach St Saco ME 04072-2812 | |
(207) 590-2728 | |
(207) 835-4670 |
Full Name | Outlook Ccs, Llc |
---|---|
Speciality | Clinic/Center |
Location | 74 Beach St, Saco, Maine |
Authorized Official Name and Position | Karen Lemoine (PRESIDENT) |
Authorized Official Contact | 2075902728 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Outlook Ccs, Llc 25 Ocean Greens Dr Saco ME 04072-2166 Ph: (207) 590-2728 | Outlook Ccs, Llc 74 Beach St Saco ME 04072-2812 Ph: (207) 590-2728 |
NPI Number | 1093238461 |
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Provider Enumeration Date | 07/18/2017 |
Last Update Date | 07/18/2017 |
Medicare PECOS PAC ID | 4587930904 |
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Medicare Enrollment ID | O20171030001330 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093238461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | LC4689 (Maine) | Primary |
Provider Name | Karen Lemoine |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245751395 PECOS PAC ID: 4385918952 Enrollment ID: I20170920001797 |
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