Organization
NOVIS VITA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIANE GUSA KANEZA (MEMBER)
(207) 577-9756
Entity
Organization
Contact information
Practice address
47 MAPLE ST, SACO, ME 04072-3131
(207) 577-9756
Mailing address
47 MAPLE ST, SACO, ME 04072-3131
(207) 577-9756
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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