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NPI Code Detail

MEDICARE: BECKET FAMILY OF SERVICES

MEDICARE: BECKET FAMILY OF SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyME

General Provider Information

NPI Number : 1245546456
Entity Type Code : Organization
Provider Name (Legal Business Name) : BECKET FAMILY OF SERVICES
Provider Business Mailing Address
First Line : PO BOX 269
Second Line :
City : BELGRADE
State : ME
Zip : 04917-0269
Country : US
Telephone Number : 207-465-7985
Fax Number : 207-465-7184
Provider Business Practice Location Address
First Line : 744 OAKLAND RD
Second Line :
City : BELGRADE
State : ME
Zip : 04917-3411
Country : US
Telephone Number : 207-465-7985
Fax Number : 207-465-7184
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : MRS. JENNIFER FULLERTON
Credential : LCSW
Telephone Number : 207-465-4600
Provider Enumeration Date : 08/25/2010
Last Update Date : 08/25/2010

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Directions to “BECKET FAMILY OF SERVICES ” Practice Location

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