Active NPIOrganization

Center For Sacred Living

Community/Behavioral Health in South Portland, Maine

NPI Number1104053867
Practice location
69 Angell Ave, Apt 1, South Portland, ME 04106-5002
Fax
—
Last updated
June 19, 2009

Center For Sacred Living is a healthcare organization based in South Portland, ME. Center For Sacred Living practices in South Portland, ME. The NPI Number for Center For Sacred Living is 1104053867 and holds a License No. AC1 (ME). The current practice location address for Center For Sacred Living is 69 Angell Ave, Apt 1, South Portland, ME 04106-5002 and can be reached out via phone at 207-221-0727.

Provider Profile Details

NPI Number
1104053867
Provider Name
Center For Sacred Living
Provider Entity Type
Organization
Address
69 Angell Ave, Apt 1, South Portland, ME 04106-5002
Phone Number
207-221-0727
Primary Taxonomy
Community/Behavioral Health · 251S00000X
Organization Subpart
No
Authorized Official
Mrs. Debra Greten-Ganberg, LCSW · Director Of Clinical Services · 207-221-0727
Provider Enumeration Date
June 19, 2009
Last Update Date
June 19, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
69 Angell Ave
Apt 1
South Portland, ME 04106-5002
State
Maine
Zip
04106-5002
Phone Number
207-221-0727
South Portland, ME 04106Get directions →

Provider Business Mailing Address Details

Address
69 Angell Ave
Apt 1
South Portland, ME 04106-5002
City
South Portland
State
ME
Zip
04106-5002
Phone Number
207-221-0727

License Information

License Number (1)
AC1
License State (1)
ME
Taxonomy (1)
Acupuncturist · 171100000X
License Number (2)
LC6487
License State (2)
ME
Taxonomy (2)
Community/Behavioral Health · 251S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Center For Sacred Living?

The NPI number of Center For Sacred Living is 1104053867. It was assigned on June 19, 2009 and is currently active in the NPPES registry.

What is the specialty of Center For Sacred Living?

Center For Sacred Living is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X), licensed in ME under license number AC1.

Where does Center For Sacred Living practice?

The practice location is 69 Angell Ave, Apt 1, South Portland, ME 04106-5002. The office can be reached at 207-221-0727 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104053867 directly on the NPPES registry website.

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