Organization
COGNITIVE COMMUNITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH NICOLE KILLINGER (CEO)
(207) 329-3292
Entity
Organization
Contact information
Practice address
415 CONGRESS ST STE 418, PORTLAND, ME 04101-3500
(207) 329-3292
Mailing address
36 BEAUFORT ST, SOUTH PORTLAND, ME 04106-4624
(207) 329-3292
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/27/2024
Last updated
02/03/2025
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