NPI | 1477909810 |
---|---|
Doing Business As | CCS BEHAVIORAL AT REN SCHOOL |
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 | 2016-05-04 |
Last Update Date | 2020-10-22 |