Organization
COMMUNITY CLINICAL SERVICES, INC.
Active
Parent organization
COMMUNITY CLINICAL SERVICES, INC.
Other names
Edward Little School Based Health Center - Psych Providers
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY CLINICAL SERVICES, INC.
Authorized official
COLEEN L ELIAS (CEO/CFO)
(207) 513-3897
Entity
Organization
Contact information
Practice address
77 HARRIS ST, AUBURN, ME 04210-4671
(207) 782-6827
(207) 376-0090
Mailing address
PO BOX 95000 LBX 7660, PHILADELPHIA, PA 19195-0001
(207) 777-8202
(707) 783-6660
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/16/2011
Last updated
10/22/2020
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