| Mgmc Outpatient Counseling Substance Abuse | |
|
8 Highwood St Waterville ME 04901-5740 | |
| (207) 861-3488 | |
| (207) 861-3470 |
| Full Name | Mgmc Outpatient Counseling Substance Abuse |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8 Highwood St, Waterville, Maine |
| Authorized Official Name and Position | Angela W Victory (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 2078613488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mgmc Outpatient Counseling Substance Abuse 8 Highwood St Waterville ME 04901-5740 Ph: (207) 861-3488 | Mgmc Outpatient Counseling Substance Abuse 8 Highwood St Waterville ME 04901-5740 Ph: (207) 861-3488 |
| NPI Number | 1306907464 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 09/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306907464 | NPI | - | NPPES |
| 132510200 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 230503 (Maine) | Primary |
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