Organization
INGRAHAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE MORRISON (EXECUTIVE DIRECTOR)
(207) 874-1055
Entity
Organization
Contact information
Practice address
50 MONUMENT SQ, PORTLAND, ME 04101-4039
(207) 874-1055
(207) 774-5901
Mailing address
PO BOX 1868, PORTLAND, ME 04104-1868
(207) 874-1055
(207) 774-5901
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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