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Organization

CATHOLIC CHARITIES OF MAINE

Active
Parent organization
CATHOLIC CHARITIES OF MAINE
Organization subpart
Yes

Provider details

NPI number
Legal business name
CATHOLIC CHARITIES OF MAINE
Authorized official
KARL DAVID PARKER CLINICAL COUNSELOR (CLINICAL SUPERVISOR)
(207) 871-7431
Entity
Organization

Contact information

Practice address
66 STATE ST, PORTLAND, ME 04104
(207) 871-7431
(207) 871-7457
Mailing address
PO BOX 797, 66 STATE ST, PORTLAND, ME 04104
(207) 871-7431
(207) 871-7457

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CC1955
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100200203
ME
Enumeration date
04/06/2011
Last updated
04/06/2011
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