Organization
UNITED CEREBRAL PALSY OF NORTHEASTERN MAINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE M OGDEN (CAO)
(207) 941-2952
Entity
Organization
Contact information
Practice address
700 MOUNT HOPE AVE, SUITE 320, BANGOR, ME 04401-5691
(207) 941-2952
(207) 941-2955
Mailing address
700 MOUNT HOPE AVE, SUITE 320, BANGOR, ME 04401-5691
(207) 941-2952
(207) 941-2955
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH2212
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167950300
—
ME
Enumeration date
03/20/2012
Last updated
03/20/2012
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