Center for Sacred Living
NPI #1104053867 in South Portland, Maine
Provider Information
- NPI Number
- 1104053867
- Entity Type
- Organization
- Organization Name
- Center for Sacred Living
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 19, 2009
- Last Updated
- Jun 19, 2009
Practice Location
- Address
- 69 ANGELL AVE
- Address 2
- APT 1
- City
- South Portland
- State
- Maine
- ZIP Code
- 04106-5002
- Phone
- (207) 221-0727
Authorized Official
- Name
- MRS. DEBRA GRETEN-GANBERG, LCSW
- Title
- DIRECTOR OF CLINICAL SERVICES
- Phone
- (207) 221-0727
Specialties & Taxonomy Codes
| Specialty |
|---|
| Acupuncturist |
| Community/Behavioral Health |
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