| Ccs Behavioral At Mollison | |
|
15 Mollison Way Room A Lewiston ME 04240-5805 | |
| (207) 777-4440 | |
| (207) 777-8197 |
| Full Name | Ccs Behavioral At Mollison |
|---|---|
| Speciality | Clinic/Center |
| Location | 15 Mollison Way, Lewiston, Maine |
| Authorized Official Name and Position | Coleen L Elias (CEO/CFO) |
| Authorized Official Contact | 2075133897 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ccs Behavioral At Mollison Po Box 95000 Lbx 7660 Philadelphia PA 19195-0001 Ph: (207) 777-8202 | Ccs Behavioral At Mollison 15 Mollison Way Room A Lewiston ME 04240-5805 Ph: (207) 777-4440 |
| NPI Number | 1942655345 |
|---|---|
| Provider Enumeration Date | 05/04/2016 |
| Last Update Date | 10/22/2020 |
| Medicare PECOS PAC ID | 0042101099 |
|---|---|
| Medicare Enrollment ID | O20160811000142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942655345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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