Organization · Type 2 NPI

State of Maine

Community/Behavioral Health Agency · Bangor, ME

NPI number 1184020091 Active

Practice location

656 State St
Bangor, ME 04401-5609

Call (207) 287-7418 Map

Fax (207) 287-1862

Mailing address

109 Capitol Street Shs #11, Reimbursement Unit
Augusta, ME 04333-0011

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	681294 (ME)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

31 other providers at this address

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NPI record

NPI: 1184020091
Entity type: Organization (Type 2)
Issued: Nov 5, 2014
Last updated: Jun 14, 2019
Status: Active

Other names

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Dorothea Dix Psychiatric Center Out Patient Services · doing business as
Dorothea Dix Psychiatric Center Out Patient Services · doing business as

Authorized official

Carol Webb Cody
Financial Manager
(207) 941-4192

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1184020091

State of Maine's National Provider Identifier is 1184020091, issued on Nov 5, 2014. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Bangor, ME. The record was last updated on Jun 14, 2019.