NPI 1053319566
State of Maine
Practice location
- Address
- 250 Arsenal St, Augusta, ME 04333-0011
- Phone
- (207) 287-2293
- Fax
- (207) 287-1862
- Mailing address
- 109 Capitol Street Shs #11 Reimbursement Unit, Augusta, ME 04333-0011
Authorised official
- Name
- Jennifer Gagnon
- Title
- Financial Manager
- Phone
- (207) 624-4675
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1053319566
- Entity type
- Organization
- NPI issued
- 8 Jul 2005
- Record last updated
- 14 Jun 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.