Dorothea Dix Psychiatric Center Out Patient Services | |
656 State St Bangor ME 04401-5609 | |
(207) 287-7418 | |
(207) 287-1862 |
Full Name | Dorothea Dix Psychiatric Center Out Patient Services |
---|---|
Speciality | Community/behavioral Health |
Location | 656 State St, Bangor, Maine |
Authorized Official Name and Position | Carol Webb Cody (FINANCIAL MANAGER) |
Authorized Official Contact | 2079414192 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dorothea Dix Psychiatric Center Out Patient Services 109 Capitol Street Shs #11, Reimbursement Unit Augusta ME 04333-0011 Ph: (207) 287-7418 | Dorothea Dix Psychiatric Center Out Patient Services 656 State St Bangor ME 04401-5609 Ph: (207) 287-7418 |
NPI Number | 1184020091 |
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Provider Enumeration Date | 11/05/2014 |
Last Update Date | 06/14/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184020091 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 681294 (Maine) | Primary |
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