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Contact Information

SWEETSER
50 MOODY STREET
SACO, ME04072
 Phone: 800-434-3000
 Fax: 207-294-4649
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SWEETSER

NPI Number 1538122445
LBN Legal business name SWEETSER
Authorized official JAYNE VAN BRAMER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/11/2006
Last updated 03/10/2023 - About 3 years ago
Identifiers
ME License # 229941
ME Medicaid 1538122445
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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