| Summit Achievement Of Stow, Inc. | |
|
69 Deer Hill Rd Stow ME 04037-3100 | |
| (207) 697-2020 | |
| (207) 697-2021 |
| Full Name | Summit Achievement Of Stow, Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 69 Deer Hill Rd, Stow, Maine |
| Authorized Official Name and Position | Nicholas Ernst (CEO) |
| Authorized Official Contact | 2076972020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Achievement Of Stow, Inc. 69 Deer Hill Rd Stow ME 04037-3100 Ph: (207) 697-2020 | Summit Achievement Of Stow, Inc. 69 Deer Hill Rd Stow ME 04037-3100 Ph: (207) 697-2020 |
| NPI Number | 1801648803 |
|---|---|
| Provider Enumeration Date | 04/03/2024 |
| Last Update Date | 04/03/2024 |
| Certification Date | 04/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801648803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |