NPI 1235700709
Jamie Racine
Practice location
- Address
- 28 State St STE 5, Gorham, ME 04038-1147
- Phone
- (207) 894-4278
Authorised official
- Name
- Jamie Racine
- Title
- Owner
- Phone
- (207) 894-4278
Registered specialties (2)
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
Community/Behavioral Health Agency
Registry record
- NPI
- 1235700709
- Entity type
- Organization
- NPI issued
- 6 Jul 2021
- Record last updated
- 9 Jul 2021
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.