| Spring Harbor Community Services | |
|
12 Union St Rockland ME 04841-2739 | |
| (207) 701-4400 | |
| Not Available |
| Full Name | Spring Harbor Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12 Union St, Rockland, Maine |
| Authorized Official Name and Position | Lugene Anthony Inzana (ASSOCIATE CFO) |
| Authorized Official Contact | 2076623538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Harbor Community Services 78 Atlantic Pl South Portland ME 04106-2316 Ph: () - | Spring Harbor Community Services 12 Union St Rockland ME 04841-2739 Ph: (207) 701-4400 |
| NPI Number | 1518447325 |
|---|---|
| Provider Enumeration Date | 08/21/2018 |
| Last Update Date | 05/11/2020 |
| Certification Date | 05/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518447325 | NPI | - | NPPES |
| 435657000 | Medicaid | ME | |
| 435793100 | Medicaid | ME | |
| 132610001 | Medicaid | ME | |
| 132610000 | Medicaid | ME | |
| 435793101 | Medicaid | ME | |
| 132610002 | Medicaid | ME | |
| 435657001 | Medicaid | ME | |
| 435657002 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | 680905 (Maine) | Primary |
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