| Pillars Community Outreach, Inc. | |
|
121 Main St Fairfield ME 04937-1528 | |
| (207) 453-4500 | |
| (207) 453-4502 |
| Full Name | Pillars Community Outreach, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 121 Main St, Fairfield, Maine |
| Authorized Official Name and Position | Sarah I Baker (NETWORK ADMIN) |
| Authorized Official Contact | 2074534500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pillars Community Outreach, Inc. 121 Main St Fairfield ME 04937-1528 Ph: (207) 453-4500 | Pillars Community Outreach, Inc. 121 Main St Fairfield ME 04937-1528 Ph: (207) 453-4500 |
| NPI Number | 1912338906 |
|---|---|
| Provider Enumeration Date | 12/02/2013 |
| Last Update Date | 04/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912338906 | NPI | - | NPPES |
| 133360029 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHA673808 (Maine) | Primary |
The Shaw Agency, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Damascus Rd, Fairfield, ME 04937 Phone: 207-453-7987 Fax: 207-453-7987 |