| Ccs Behavioral at Ren School | |
|
15 Sacred Heart Pl Room A Auburn ME 04210-4938 | |
| (207) 777-4175 | |
| (207) 786-2221 |
| Full Name | Ccs Behavioral at Ren School |
|---|---|
| Speciality | Clinic/Center |
| Location | 15 Sacred Heart Pl, Auburn, Maine |
| Authorized Official Name and Position | Coleen L Elias (CEO/CFO) |
| Authorized Official Contact | 2075133897 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ccs Behavioral at Ren School Po Box 95000 Lbx 7660 Philadelphia PA 19195-0001 Ph: (207) 777-8202 | Ccs Behavioral at Ren School 15 Sacred Heart Pl Room A Auburn ME 04210-4938 Ph: (207) 777-4175 |
| NPI Number | 1477909810 |
|---|---|
| Provider Enumeration Date | 05/04/2016 |
| Last Update Date | 10/22/2020 |
| Certification Date | 10/22/2020 |
| Medicare PECOS PAC ID | 0042101099 |
|---|---|
| Medicare Enrollment ID | O20160811000339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477909810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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