SUPPORTIVE CARE OF MAINE LLC

BANGOR, ME
NPI1518681568
Entity TypeOrganization
Authorized ContactRAPHAEL LICHTSHCEIN
President
718-298-4375
Organization Subpart ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
Additional Taxonomies1041C0700X Social Worker, Clinical
363L00000X Nurse Practitioner
Enumeration Date2022-10-03
Last Update Date2022-10-03
Business Address
SUPPORTIVE CARE OF MAINE LLC
516 MOUNT HOPE AVE
BANGOR, ME 04401-4215
Phone number: 718-298-2753
Mailing Address
SUPPORTIVE CARE OF MAINE LLC
27 RANDOLPH RD
HOWELL, NJ 07731-8611
Phone number: 718-298-4375