| Sgr, Inc. | |
|
69 Federal St Portland ME 04101-4260 | |
| (207) 774-6412 | |
| (207) 772-7702 |
| Full Name | Sgr, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 69 Federal St, Portland, Maine |
| Authorized Official Name and Position | Stephen G Roy (PRESIDENT) |
| Authorized Official Contact | 2077746412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sgr, Inc. 69 Federal St Portland ME 04101-4260 Ph: (207) 774-6412 | Sgr, Inc. 69 Federal St Portland ME 04101-4260 Ph: (207) 774-6412 |
| NPI Number | 1497096317 |
|---|---|
| Provider Enumeration Date | 03/04/2013 |
| Last Update Date | 03/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497096317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LC4504 (Maine) | Primary |
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