JONATHAN C FELLERS MD PA LLC

PORTLAND, ME
NPI1457823817
Doing Business AsCORTEX BEHAVIORAL HEALTH
Entity TypeOrganization
Authorized ContactJONATHAN C FELLERS
Principal
207-221-0635
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
101YM0800X Counselor, Mental Health
207R00000X Internal Medicine
2083A0300X Preventive Medicine, Addiction Medicine
2084P0800X Psychiatry & Neurology, Psychiatry
2084P0802X Psychiatry & Neurology, Addiction Psychiatry
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2018-12-26
Last Update Date2023-12-26
Business Address
JONATHAN C FELLERS MD PA LLC
1 CITY CTR STE 8130
PORTLAND, ME 04101-6420
Phone number: 207-221-0635
Mailing Address
JONATHAN C FELLERS MD PA LLC
1 CITY CTR STE 8130
PORTLAND, ME 04101-6420
Phone number: 207-221-0635