National Provider Identifier Database

CENTER FOR SACRED LIVING
Community/Behavioral Health

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.


Contact Information

CENTER FOR SACRED LIVING
69 ANGELL AVE
APT 1
SOUTH PORTLAND, ME04106-5002
Phone: 207-221-0727
Fax:
Website:
Specialty Taxonomy Code
* Community/Behavioral Health 251S00000X
Acupuncturist 171100000X

* Indicates primary specialty

NPI Profile & details for CENTER FOR SACRED LIVING

NPI Number 1104053867
Legal business name
LBN
CENTER FOR SACRED LIVING
Authorized official DEBRA GRETEN-GANBERG - (DIRECTOR OF CLINICAL SERVICES)
Entity Organization
Organization subpart No
Enumeration date 06/19/2009
Last updated 06/19/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • ME License #: AC1
  • ME License #: LC6487

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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