Organization
JAMIE RACINE
Active
Other names
Embrace the Extra
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE RACINE LCSW (OWNER)
(207) 894-4278
Entity
Organization
Contact information
Practice address
28 STATE ST STE 5, GORHAM, ME 04038-1147
(207) 894-4278
Mailing address
28 STATE ST STE 5, GORHAM, ME 04038-1147
(207) 894-4278
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
07/09/2021
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