| Portland Public Schools | |
|
57 Douglass St Portland ME 04102-2524 | |
| (207) 874-8225 | |
| (207) 874-8292 |
| Full Name | Portland Public Schools |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 57 Douglass St, Portland, Maine |
| Authorized Official Name and Position | Erin Frazier (DIRECTOR) |
| Authorized Official Contact | 2078748225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portland Public Schools 57 Douglass St Portland ME 04102-2524 Ph: (207) 874-8225 | Portland Public Schools 57 Douglass St Portland ME 04102-2524 Ph: (207) 874-8225 |
| NPI Number | 1902182066 |
|---|---|
| Provider Enumeration Date | 11/02/2011 |
| Last Update Date | 11/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902182066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LC4960 (Maine) | Primary |
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