| Sage Program, Llc | |
|
8 Luxury Dr Newport NH 03773-1495 | |
| (727) 481-3581 | |
| Not Available |
| Full Name | Sage Program, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8 Luxury Dr, Newport, New Hampshire |
| Authorized Official Name and Position | Charmaine W Keller (OWNER) |
| Authorized Official Contact | 7274813581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Program, Llc 8 Luxury Dr Newport NH 03773-1495 Ph: (727) 481-3581 | Sage Program, Llc 8 Luxury Dr Newport NH 03773-1495 Ph: (727) 481-3581 |
| NPI Number | 1558752972 |
|---|---|
| Provider Enumeration Date | 02/06/2015 |
| Last Update Date | 04/14/2021 |
| Certification Date | 04/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558752972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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