| Thrive-maine Behavioral Health, Llc | |
|
510 Main St # 23 Gorham ME 04038-1339 | |
| (207) 749-3143 | |
| Not Available |
| Full Name | Thrive-maine Behavioral Health, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 510 Main St # 23, Gorham, Maine |
| Authorized Official Name and Position | Susan L Ward (CO-EXECUTIVE DIRECTOR/ADMINSTRATOR) |
| Authorized Official Contact | 2077493143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive-maine Behavioral Health, Llc 510 Main St # 23 Gorham ME 04038-1339 Ph: (207) 749-3143 | Thrive-maine Behavioral Health, Llc 510 Main St # 23 Gorham ME 04038-1339 Ph: (207) 749-3143 |
| NPI Number | 1699581819 |
|---|---|
| Provider Enumeration Date | 12/04/2024 |
| Last Update Date | 02/19/2025 |
| Certification Date | 02/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699581819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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