Organization
PINE TREE COMMUINTY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMMED JABER (C.E.O)
(207) 253-9000
Entity
Organization
Contact information
Practice address
171 WARREN AVE, PORTLAND, ME 04103-1103
(207) 253-9000
Mailing address
171 WARREN AVE, PORTLAND, ME 04103-1103
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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