Wide Behavior Services Llc

LBN: Wide Behavior Services Llc
Wide Behavior Services Llc is an health care organization with primary practice located at 4 Apple Tree Ln , Saco ME 04072-8830. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Rehabilitation, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Ambulatory Family Planning Facility, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Wide Behavior Services Llc can be contacted via phone (207) 632-5106, or through Shumbusho, Joseph via phone (207) 632-5106.

Contact Information

Primary practice address
4 Apple Tree Ln Saco ME 04072-8830
Phone: (207) 632-5106
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shumbusho, Joseph
Phone: (207) 632-5106

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Ambulatory Family Planning Facility 261QA0005X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1760231864
LBN Legal business name Wide Behavior Services Llc
DBA Doing business as
Authorized official Shumbusho, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2024
Last updated May 13th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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