NPI 1114070661
Community Care
Practice location
- Address
- 40 Summer St, Bangor, ME 04401-6446
- Phone
- (207) 945-4240
- Fax
- (207) 990-3660
- Mailing address
- PO Box 936, Bangor, ME 04402-0936
Authorised official
- Name
- Nellie a Kennedy
- Title
- Finance Director
- Phone
- (207) 945-4240
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1114070661
- Entity type
- Organization
- NPI issued
- 19 Jan 2007
- Record last updated
- 4 Dec 2013
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.