Organization Name: | CATHOLIC CHARITIES OF MAINE |
NPI Number: | 1114151180 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MEREDITH DAVIS (DOCTOR AND CLINICAL SUPERVISOR) |
Mailing Address: | 171 Congress Ave Bath |
State: | ME US |
Postal Code: | 045301531 |
Phone Number: | 2074439721 |
Fax Number: | 2074439722 |
NPI Enumeration Date: | 05/06/2009 |
NPI Last Update Date: | 05/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 3192 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |