Peace Behavioral Health Llc | |
110 Main St Ste 1300d Saco ME 04072-3505 | |
(207) 200-4789 | |
(786) 685-2120 |
Full Name | Peace Behavioral Health Llc |
---|---|
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 110 Main St Ste 1300d, Saco, Maine |
Authorized Official Name and Position | Nicolas D Sikaczowski (OWNER) |
Authorized Official Contact | 3056003182 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Peace Behavioral Health Llc 110 Main St Ste 1300d Saco ME 04072-3505 Ph: (207) 200-4789 | Peace Behavioral Health Llc 110 Main St Ste 1300d Saco ME 04072-3505 Ph: (207) 200-4789 |
NPI Number | 1366138984 |
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Provider Enumeration Date | 04/17/2023 |
Last Update Date | 10/21/2024 |
Certification Date | 10/21/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366138984 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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