Organization · NPI-2

Coastal Mental Health, PLLC

Clinic/Center, Adult Mental Health · Brunswick, ME

NPI number1093302473
StatusActive
Last updated in NPPESDec 31, 2020

Details

NPI
1093302473
Entity type
Organization (NPI-2)
Legal business name
Coastal Mental Health, PLLC
Organization subpart
No
Enumeration date
Dec 31, 2020
Certification date
Dec 31, 2020
Last updated
Dec 31, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health––Yes

Practice location

103 Harpswell Rd
Brunswick, ME 04011-7842

Phone 207-806-2669

Mailing address

103 Harpswell Rd
Brunswick, ME 04011-7842

Phone 207-806-2669

Authorized official

Lisa M Cash
Owner
2078062669

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