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Contact Information

CENTER FOR SACRED LIVING
69 ANGELL AVE
APT 1
SOUTH PORTLAND, ME04106-5002
 Phone: 207-221-0727
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for CENTER FOR SACRED LIVING

NPI Number 1104053867
LBN Legal business name CENTER FOR SACRED LIVING
Authorized official DEBRA GRETEN-GANBERG - (DIRECTOR OF CLINICAL SERVICES)
Entity Organization
Organization subpart 1 No
Enumeration date 06/19/2009
Last updated 06/19/2009 - About 17 years ago
Identifiers
ME License # AC1
ME License # LC6487
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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