Organization
MID-COAST FAMILY WELLNESS CENTER, LLC
Active
Other names
Midcoast Family Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
PIA MARANCIK PH.D (LICENSED PSYCHOLOGIST)
(207) 350-9875
Entity
Organization
Contact information
Practice address
219 ROUTE ONE STE 101, EDGECOMB, ME 04556-3000
(207) 350-5788
Mailing address
219 ROUTE ONE STE 101, EDGECOMB, ME 04556-3000
(207) 350-5788
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
PS1389
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386978849
—
ME
Enumeration date
12/07/2017
Last updated
12/07/2017
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