| Manifest Maine Llc | |
|
825 Main St Westbrook ME 04092-2872 | |
| (207) 480-3491 | |
| (207) 352-5133 |
| Full Name | Manifest Maine Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 825 Main St, Westbrook, Maine |
| Authorized Official Name and Position | Whitney Adams (OWNER) |
| Authorized Official Contact | 2078387839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manifest Maine Llc 20 Inkhorn Brook Rd Windham ME 04062-4091 Ph: (207) 838-7839 | Manifest Maine Llc 825 Main St Westbrook ME 04092-2872 Ph: (207) 480-3491 |
| NPI Number | 1659959484 |
|---|---|
| Provider Enumeration Date | 04/01/2021 |
| Last Update Date | 04/01/2021 |
| Certification Date | 04/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659959484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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