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Organization
RIVERS EDGE BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization
RIVERS EDGE BEHAVIORAL HEALTH SERVICES, LLC
Active
Parent organization
RIVERS EDGE BEHAVIORAL HEALTH SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERS EDGE BEHAVIORAL HEALTH SERVICES, LLC
Authorized official
JULIE RACINE PMHNP-BC (EXECUTIVE DIRECTOR)
(207) 290-1450
Entity
Organization
Contact information
Practice address
213 W BROADWAY, LINCOLN, ME 04457-4001
(207) 403-9215
Mailing address
PO BOX 27, SPRINGFIELD, ME 04487-0027
(207) 290-1450
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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