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Organization
BEHAVIORAL HEALTH RESOURCES OF MAINE INC
Active
Organization
BEHAVIORAL HEALTH RESOURCES OF MAINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANCE W JORDAN (CEO)
(207) 808-1384
Entity
Organization
Contact information
Practice address
305 COMMERCIAL ST STE 103, PORTLAND, ME 04101-4641
(207) 808-1384
(207) 767-6595
Mailing address
305 COMMERCIAL ST STE 103, PORTLAND, ME 04101-4641
(207) 808-1384
(207) 221-1710
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC2233
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP81017
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
METPID005674
—
ME
Enumeration date
07/06/2014
Last updated
10/15/2020
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