Maine Behavioral Healthcare | |
165 Lancaster St Portland ME 04101-2406 | |
(207) 874-1030 | |
(207) 874-1044 |
Full Name | Maine Behavioral Healthcare |
---|---|
Speciality | Community/behavioral Health |
Location | 165 Lancaster St, Portland, Maine |
Authorized Official Name and Position | Greg Bowers (EVP & COO) |
Authorized Official Contact | 2072532629 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Maine Behavioral Healthcare 78 Atlantic Place South Portland ME 04106-2316 Ph: (207) 842-7701 | Maine Behavioral Healthcare 165 Lancaster St Portland ME 04101-2406 Ph: (207) 874-1030 |
NPI Number | 1962422964 |
---|---|
Provider Enumeration Date | 07/20/2006 |
Last Update Date | 06/16/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962422964 | NPI | - | NPPES |
104760000 | Medicaid | ME | |
104760001 | Medicaid | ME | |
104760201 | Medicaid | ME | |
104760100 | Medicaid | ME | |
14760200 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 680905 (Maine) | Primary |
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