Provider Demographics
NPI:1255937983
Name:THE LILAC CENTER
Entity type:Organization
Organization Name:THE LILAC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YOUNESS
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:ALMECHATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-230-4312
Mailing Address - Street 1:PO BOX 131
Mailing Address - Street 2:
Mailing Address - City:PORTER
Mailing Address - State:ME
Mailing Address - Zip Code:04068-0131
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:32 SUMMER STREET
Practice Address - Street 2:
Practice Address - City:PORTER
Practice Address - State:ME
Practice Address - Zip Code:04068-0406
Practice Address - Country:US
Practice Address - Phone:207-230-4312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-08
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Multi-Specialty