State of Maine

NPI #1053319566 in Augusta, Maine

Provider Information

NPI Number: 1053319566
Entity Type: Organization
Organization Name: State of Maine
Primary Specialty: Psychiatric Hospital
Enumeration Date: Jul 8, 2005
Last Updated: Jun 14, 2019

Practice Location

Address: 250 ARSENAL ST
City: Augusta
State: Maine
ZIP Code: 04333-0011
Phone: (207) 287-2293

Authorized Official

Name: MS. JENNIFER GAGNON
Title: FINANCIAL MANAGER
Phone: (207) 624-4675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatric Hospital	283Q00000X	Primary

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