Organization
DIGNITY LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD KALUSA DSP ,CRMA ,CPR (DIRECTOR OF ADMINISTRATION)
(207) 383-5601
Entity
Organization
Contact information
Practice address
42 BRIGHAM ST, SOUTH PORTLAND, ME 04106-3406
(207) 239-9078
Mailing address
42 BRIGHAM ST, SOUTH PORTLAND, ME 04106-3406
(207) 239-9078
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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