NPI 1245628478

Kidspeace New England

Organisation Community/Behavioral Health Agency Bangor, ME

Practice location

Address: 444 Stillwater Ave Suite 204, Bangor, ME 04401-3521
Phone: (207) 941-1414
Fax: (207) 947-6278

Authorised official

Name: Suzanne Lynn King
Title: Clinician
Phone: (207) 941-1414

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence XL4436 (ME)

Other Community/Behavioral Health providers in Maine →

Registry record

NPI: 1245628478
Entity type: Organization
NPI issued: 22 Dec 2014
Record last updated: 22 Dec 2014

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.