Organization
COMMUNITY CARE
Active
Other names
Care Development of Maine
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NELLIE A KENNEDY (FINANCE DIRECTOR)
(207) 945-4240
Entity
Organization
Contact information
Practice address
40 SUMMER ST, BANGOR, ME 04401-6446
(207) 945-4240
(207) 990-3660
Mailing address
PO BOX 936, BANGOR, ME 04402-0936
(207) 945-4240
(207) 990-3660
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
220602
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133900000
—
ME
05
—
133900100
—
ME
05
—
133900200
—
ME
Enumeration date
01/19/2007
Last updated
12/04/2013
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