NPI 1033637673

Wellness Center

Organisation Adult Mental Health Clinic/Center Lewiston, ME

Practice location

Address: 37 Park Street, Suite 305, Lewiston, ME 04240
Phone: (207) 755-9042
Fax: (207) 755-9041

Authorised official

Name: Hassan Mohamud Adan
Title: Presdident/Ceo
Phone: (207) 344-7526

Registered specialties

Adult Mental Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM0850X Licence MHA733306 (ME)

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Registry record

NPI: 1033637673
Entity type: Organization
NPI issued: 4 Sep 2017
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.