NPI 1699776146
State of Maine
Practice location
- Address
- 656 State St, Bangor, ME 04401-5609
- Phone
- (207) 941-4192
- Mailing address
- 109 Capitol Street State House Station #11, Reimbursement Unit, Augusta, ME 04330-6846
Authorised official
- Name
- Carol Webb Cody
- Title
- Financial Manager
- Phone
- (207) 941-4192
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1699776146
- Entity type
- Organization
- NPI issued
- 9 Aug 2005
- Record last updated
- 17 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.