Organization
CAPITAL COMMUNITY CARE
Active
Other names
Capital Community Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
HASAN AL KHAFAJI (OWNER)
(207) 272-7004
Entity
Organization
Contact information
Practice address
70 STATE ST, AUGUSTA, ME 04330-5124
(207) 272-7004
Mailing address
70 STATE ST, AUGUSTA, ME 04330-5124
(207) 272-7004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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