| NPI | 1023475134 |
|---|---|
| Doing Business As | CCS PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | COLEEN L ELIAS CEO/CFO 207-513-3897 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2020-10-22 |