Organization
BLACK BEAR SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LAURA ELIZABETH CATEVENIS (OWNER)
(207) 740-0667
Entity
Organization
Contact information
Practice address
571 SABATTUS STREET, SUITE 15, LEWISTON, ME 04240
(207) 740-0667
Mailing address
571 SABATTUS STREET, SUITE 15, LEWISTON, ME 04240
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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