Department of Veterans Affairs

NPI #1306170295 in Lincoln, Maine

Provider Information

NPI Number: 1306170295
Entity Type: Organization
Organization Name: Department of Veterans Affairs
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Sep 24, 2009
Last Updated: Sep 24, 2009

Practice Location

Address: 99 RIVER RD
City: Lincoln
State: Maine
ZIP Code: 04457-4012
Phone: (877) 421-8263

Authorized Official

Name: JONATHON MCMATH, M.D.
Title: CHIEF OF PSYCHIATRY
Phone: (877) 421-8263

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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