Organization
LASHELBRAYCM
Active
Other names
LaShelBrayCM
Organization subpart
No
Provider details
NPI number
Authorized official
LATISHA A BAIRD (EXECUTIVE ADM)
(207) 505-8603
Entity
Organization
Contact information
Practice address
99 BACK SEARSPORT RD, SEARSPORT, ME 04974
(207) 930-9465
Mailing address
99 BACK SEARSPORT RD, SEARSPORT, ME 04974-3627
(207) 930-9465
(207) 548-4201
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
07/05/2023
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