Provider Demographics
NPI:1154993863
Name:COMMUNITY CHOICE BEHAVIORAL HEALTH, LLC.
Entity type:Organization
Organization Name:COMMUNITY CHOICE BEHAVIORAL HEALTH, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SKRZYPEK
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, MHRT/C
Authorized Official - Phone:708-928-0587
Mailing Address - Street 1:110 MAIN ST STE 1509
Mailing Address - Street 2:
Mailing Address - City:SACO
Mailing Address - State:ME
Mailing Address - Zip Code:04072-3517
Mailing Address - Country:US
Mailing Address - Phone:207-640-4400
Mailing Address - Fax:207-640-4474
Practice Address - Street 1:110 MAIN ST STE 1509
Practice Address - Street 2:
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072-3517
Practice Address - Country:US
Practice Address - Phone:207-640-4400
Practice Address - Fax:207-640-4474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-13
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health