Organization
COMMUNITY CLINICAL SERVICES, INC.
Active
Parent organization
COMMUNITY CLINICAL SERVICES, INC.
Other names
Edward Little School Based Health Center
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
(207) 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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