Organization
FIRST LIGHT COUNSELING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM MELLO LADC/CCS (PRESIDENT)
(207) 364-7006
Entity
Organization
Contact information
Practice address
9 BROWN ST, MEXICO, ME 04257-1501
(207) 364-7006
(207) 364-7007
Mailing address
9 BROWN ST, MEXICO, ME 04257-1501
(207) 364-7006
(207) 364-7007
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
450120
ME
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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