Organization
PRIME CARE MAINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATIENCE MUNEZERO (CLINICAL DIRECTOR)
(207) 314-7012
Entity
Organization
Contact information
Practice address
641 N AUBURN RD, AUBURN, ME 04210-8716
(207) 314-7012
Mailing address
641 N AUBURN RD, AUBURN, ME 04210-8716
(207) 314-7012
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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