Organization
EASTERN MAINE COUNSELING AND TESTING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIM R ROGERS PH.D. (PRESIDENT)
(207) 942-9305
Entity
Organization
Contact information
Practice address
700 MOUNT AVE, SUITE 680 EVERGREEN WOODS, BANGOR, ME 04401-5691
(207) 942-9305
(207) 990-3954
Mailing address
700 MOUNT HOPE AVE, SUITE 680 EVERGREEN WOODS, BANGOR, ME 04401-5691
(207) 942-9305
(207) 990-3954
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122780100
MAINECARE
ME
Enumeration date
05/01/2009
Last updated
08/05/2021
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