Organization
VIOLENCE NO MORE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN F. BURGESS LCPC (DIRECTOR)
(207) 283-8574
Entity
Organization
Contact information
Practice address
26 SOUTH ST, BIDDEFORD, ME 04005-2447
(207) 283-8574
Mailing address
26 SOUTH ST, BIDDEFORD, ME 04005-2447
(207) 283-8574
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CC1528
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040782
ANTHAM
—
01
—
11540310
CAGH
—
01
—
131840100
MAINE CARE
ME
01
—
80089575
CCR TPIN
—
Enumeration date
08/22/2009
Last updated
08/22/2009
Update your record
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