State of Maine

NPI #1386887008 in Augusta, Maine

Provider Information

NPI Number
1386887008
Entity Type
Organization
Organization Name
State of Maine
Primary Specialty
Community/Behavioral Health
Enumeration Date
Apr 10, 2009
Last Updated
Jun 14, 2019

Practice Location

Address
5 CALDWELL RD
State
Maine
ZIP Code
04330-0011
Phone
(207) 287-5747

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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