Whalio Doctors

NPI 1831200575

Phoenix Mental Health Services, LLC

Organisation Public Health or Welfare Agency Bangor, ME

Practice location

Address
444 Stillwater Ave Suite 202, Bangor, ME 04401-3500
Phone
(207) 941-1113
Fax
(207) 941-1134

Authorised official

Name
Barbara Kerrigan
Title
Executive Director
Phone
(207) 941-1113

Registered specialties (2)

Public Health or Welfare Agency Primary
Agencies Taxonomy 251K00000X Licence 468197 (ME)
Public Health or Welfare Agency
Agencies Taxonomy 251K00000X Licence 492121 (ME)

Registry record

NPI
1831200575
Entity type
Organization
NPI issued
31 Aug 2006
Record last updated
22 Aug 2020

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.