| Wide Behavior Services Llc | |
|
4 Apple Tree Ln Saco ME 04072-8830 | |
| (207) 632-5106 | |
| Not Available |
| Full Name | Wide Behavior Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4 Apple Tree Ln, Saco, Maine |
| Authorized Official Name and Position | Joseph Shumbusho (CEO) |
| Authorized Official Contact | 2076325106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wide Behavior Services Llc 4 Apple Tree Ln Saco ME 04072-8830 Ph: () - | Wide Behavior Services Llc 4 Apple Tree Ln Saco ME 04072-8830 Ph: (207) 632-5106 |
| NPI Number | 1760231864 |
|---|---|
| Provider Enumeration Date | 05/13/2024 |
| Last Update Date | 05/13/2024 |
| Certification Date | 05/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760231864 | NPI | - | NPPES |
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