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Organization

COASTAL COMMUNITY CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY YOMBE (MANAGING ADMINISTRATOR)
(207) 440-1820
Entity
Organization

Contact information

Practice address
280 STETSON RD, LEWISTON, ME 04240-2430
(207) 440-1820
Mailing address
15 BRANDYWINE CIR, AUBURN, ME 04210-8882
(207) 518-0452

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
07/22/2019
Last updated
07/22/2019
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