Organization
UNITED CEREBRAL PALSY OF NORTHEASTERN MAINE
Active
Other names
UCP of Maine
Organization subpart
No
Provider details
NPI number
Authorized official
RONDA MARTIN (BILLING SPECIALIST)
(207) 992-0602
Entity
Organization
Contact information
Practice address
700 MT HOPE AVE, SUITE 320, BANGOR, ME 04401-5680
(207) 941-2952
(207) 941-2955
Mailing address
700 MT HOPE AVE, SUITE 320, BANGOR, ME 04401-5680
(207) 941-2952
(207) 941-2955
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
402831
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167950300
—
ME
Enumeration date
06/05/2007
Last updated
10/31/2016
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