Wide Behavior Services LLC

NPI #1760231864 in Saco, Maine

Provider Information

NPI Number: 1760231864
Entity Type: Organization
Organization Name: Wide Behavior Services LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: May 13, 2024
Last Updated: May 13, 2024

Practice Location

Address: 4 APPLE TREE LN
City: Saco
State: Maine
ZIP Code: 04072-8830
Phone: (207) 632-5106

Authorized Official

Name: MR. JOSEPH SHUMBUSHO
Title: CEO
Phone: (207) 632-5106

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Rehabilitation — Rehabilitation	103TR0400X
Clinic/Center	261Q00000X
Clinic/Center - Ambulatory Family Planning Facility — Ambulatory Family Planning Facility	261QA0005X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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