Integrated Behavioral Healthcare

NPI #1639131287 in Portland, Maine

Provider Information

NPI Number: 1639131287
Entity Type: Organization
Organization Name: Integrated Behavioral Healthcare
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Apr 6, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1 FOREST AVE
City: Portland
State: Maine
ZIP Code: 04101-2810
Phone: (207) 761-4761

Authorized Official

Name: DR. GORDON CLARK, M.D.
Title: MEDICAL DIRECTOR
Phone: (207) 761-4761

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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