Care Development Of Maine | |
51 4th St Bangor ME 04401-6140 | |
(207) 941-2824 | |
(207) 941-2845 |
Full Name | Care Development Of Maine |
---|---|
Speciality | Community Based Residential Treatment Facility, Mental Illness |
Location | 51 4th St, Bangor, Maine |
Authorized Official Name and Position | Cynthia Michelle Peterson (CLINICAL SUPERVISOR) |
Authorized Official Contact | 2079412824 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Care Development Of Maine Po Box 923 Bangor ME 04402-0923 Ph: (207) 941-2824 | Care Development Of Maine 51 4th St Bangor ME 04401-6140 Ph: (207) 941-2824 |
NPI Number | 1437370277 |
---|---|
Provider Enumeration Date | 05/01/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437370277 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | MC9998 (Maine) | Primary |
320800000X | Community Based Residential Treatment Facility, Mental Illness | MC9998 (Maine) | Primary |
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