| Edward Little School Based Health Center - Psych Providers | |
|
77 Harris St Auburn ME 04210-4671 | |
| (207) 782-6827 | |
| (207) 376-0090 |
| Full Name | Edward Little School Based Health Center - Psych Providers |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 77 Harris St, Auburn, Maine |
| Authorized Official Name and Position | Coleen L Elias (CEO/CFO) |
| Authorized Official Contact | 2075133897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Little School Based Health Center - Psych Providers Po Box 95000 Lbx 7660 Philadelphia PA 19195-0001 Ph: (207) 777-8202 | Edward Little School Based Health Center - Psych Providers 77 Harris St Auburn ME 04210-4671 Ph: (207) 782-6827 |
| NPI Number | 1760774392 |
|---|---|
| Provider Enumeration Date | 05/16/2011 |
| Last Update Date | 10/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760774392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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