State of Maine

NPI #1699776146 in Bangor, Maine

Provider Information

NPI Number
1699776146
Entity Type
Organization
Organization Name
State of Maine
Primary Specialty
Psychiatric Hospital
Enumeration Date
Aug 9, 2005
Last Updated
Jun 17, 2019

Practice Location

Address
656 STATE ST
City
Bangor
State
Maine
ZIP Code
04401-5609
Phone
(207) 941-4192

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Psychiatric Hospital

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