| Direct Community Care, Llc, Pa | |
|
9 Green St Suite 304 Augusta ME 04330-7451 | |
| (207) 512-2424 | |
| (207) 512-2425 |
| Full Name | Direct Community Care, Llc, Pa |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9 Green St, Augusta, Maine |
| Authorized Official Name and Position | Laurence Mark Albee (PRESIDENT) |
| Authorized Official Contact | 2075122424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Direct Community Care, Llc, Pa 9 Green St Suite 304 Augusta ME 04330-7451 Ph: (207) 512-2424 | Direct Community Care, Llc, Pa 9 Green St Suite 304 Augusta ME 04330-7451 Ph: (207) 512-2424 |
| NPI Number | 1689925331 |
|---|---|
| Provider Enumeration Date | 09/20/2012 |
| Last Update Date | 12/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689925331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 658525 (Maine) | Primary |
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