| Capital Community Care | |
|
70 State St Augusta ME 04330-5124 | |
| (207) 272-7004 | |
| Not Available |
| Full Name | Capital Community Care |
|---|---|
| Speciality | Case Management |
| Location | 70 State St, Augusta, Maine |
| Authorized Official Name and Position | Hasan Al Khafaji (OWNER) |
| Authorized Official Contact | 2072727004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Community Care 70 State St Augusta ME 04330-5124 Ph: (207) 272-7004 | Capital Community Care 70 State St Augusta ME 04330-5124 Ph: (207) 272-7004 |
| NPI Number | 1942917646 |
|---|---|
| Provider Enumeration Date | 11/01/2022 |
| Last Update Date | 11/01/2022 |
| Certification Date | 11/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942917646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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