| Full Name | Manna Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 629 Main St, Bangor, Maine |
| Authorized Official Name and Position | William Rae (CEO) |
| Authorized Official Contact | 2079902870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manna Inc. 629 Main St Bangor ME 04401-6848 Ph: () - | Manna Inc. 629 Main St Bangor ME 04401-6848 Ph: (207) 990-2870 |
| NPI Number | 1649614728 |
|---|---|
| Provider Enumeration Date | 04/19/2013 |
| Last Update Date | 04/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649614728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CAC4065 (Maine) | Primary |
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