is a Psychiatric/mental Health in Portland, Maine. practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for is 1427169978. The last update date is .
's current location address is 106 Gilman St, Portland, Maine. You can contact this provider via phone number 2078741087 and fax number 2075539236. The mailing address for is 106 Gilman St, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 106 Gilman St, Portland, Maine |
| Phone Number | 2078741087 |
| Fax Number | 2075539236 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1427169978 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 106 Gilman St |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41023034 |
| Phone Number | 2078741087 |
| Fax Number | 2075539236 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 363Lp0808X |
| Licence No | CNP81178 |
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Definition: An advanced practice registered nurse expert in providing psychiatric and mental healthcare services. |
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