State of Maine

NPI #1184020091 in Bangor, Maine

Provider Information

NPI Number
1184020091
Entity Type
Organization
Organization Name
State of Maine
Primary Specialty
Community/Behavioral Health
Enumeration Date
Nov 5, 2014
Last Updated
Jun 14, 2019

Practice Location

Address
656 STATE ST
City
Bangor
State
Maine
ZIP Code
04401-5609
Phone
(207) 287-7418

Authorized Official

Name
CAROL WEBB CODY
Title
FINANCIAL MANAGER
Phone
(207) 941-4192

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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