Organization
SOUTHERN MAINE SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIAZIZ MOHAMED (MANAGER)
(207) 615-3103
Entity
Organization
Contact information
Practice address
39 MECHANIC ST, WESTBROOK, ME 04092-2855
(207) 770-8148
Mailing address
39 MECHANIC ST, WESTBROOK, ME 04092-2855
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
12/26/2024
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