NPI 1255462636

Area IV Mental Health Services

Organisation Case Management Agency Lewiston, ME

Practice location

Address: 12 Bates St, Lewiston, ME 04240-7604
Phone: (207) 795-6710
Fax: (207) 795-6714
Mailing address: PO Box 1319 12 Bates St, Lewiston, ME 04243-1319

Authorised official

Name: Ray Benjamin
Title: Executive Director
Phone: (207) 795-6710

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence 220701 (ME)

Other Case Management providers in Maine →

Registry record

NPI: 1255462636
Entity type: Organization
NPI issued: 8 Mar 2007
Record last updated: 6 Oct 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.