| The Shaw Agency, Inc. | |
|
12 Damascus Rd Fairfield ME 04937-4307 | |
| (207) 453-7987 | |
| (207) 453-7987 |
| Full Name | The Shaw Agency, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12 Damascus Rd, Fairfield, Maine |
| Authorized Official Name and Position | Roberta Esther Shaw (OWNER/OPERATOR) |
| Authorized Official Contact | 2074537987 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Shaw Agency, Inc. 12 Damascus Rd Fairfield ME 04937-4307 Ph: (207) 453-7987 | The Shaw Agency, Inc. 12 Damascus Rd Fairfield ME 04937-4307 Ph: (207) 453-7987 |
| NPI Number | 1205266756 |
|---|---|
| Provider Enumeration Date | 11/20/2013 |
| Last Update Date | 11/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205266756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Pillars Community Outreach, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Main St, Fairfield, ME 04937 Phone: 207-453-4500 Fax: 207-453-4502 |