NPI 1811480452

Stonybrook Mental Health

Organisation Early Intervention Provider Agency Bangor, ME

Practice location

Address: 875 Hammond St, Bangor, ME 04401-4303
Phone: (207) 664-8529
Mailing address: PO Box 72, Holden, ME 04429-0072

Authorised official

Name: Richard G Corey
Title: Owner
Phone: (207) 664-8529

Registered specialties (3)

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1811480452
Entity type: Organization
NPI issued: 8 Jun 2018
Record last updated: 8 Jun 2018

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.