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SWEETSER

Group Psychotherapy

Saco, Maine

Provider NPI: 1538122445

Organization Information:
Organization Name:  SWEETSER
Organization is not Subpart
Authorized Official:  DEBRA D TAYLOR  PRESIDENT & CEO  207-2944651

Practice Location:
50 MOODY STREET  SACO, ME 04072 US
Tel: 800-434-3000  Fax: 207-294-4649

Business Mailing Address:
50 MOODY STREET  SACO, ME 04072 US
Tel: 800-434-3000  Fax: 207-294-4649

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103TP2701XBehavioral Health & Social Service Providers
Psychologist
Group Psychotherapy
Y261QM0801XAmbulatory Health Care Facilities
Clinic/Center
ME229941

Other Provider Identifiers:

IssuerNumberStateType
1538122445ME05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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