| Discovery Aba Me Llc | |
|
443 Western Ave Ste 1049 S Portland ME 04106-1726 | |
| (718) 736-5689 | |
| Not Available |
| Full Name | Discovery Aba Me Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 443 Western Ave Ste 1049, S Portland, Maine |
| Authorized Official Name and Position | Mark Elias (MANAGING DIRECTOR) |
| Authorized Official Contact | 7187365689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Discovery Aba Me Llc 600 Bayview Ave Ste 400 Inwood NY 11096-1606 Ph: (718) 675-6957 | Discovery Aba Me Llc 443 Western Ave Ste 1049 S Portland ME 04106-1726 Ph: (718) 736-5689 |
| NPI Number | 1447000880 |
|---|---|
| Provider Enumeration Date | 03/26/2024 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447000880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |