Organization
MAINEHEALTH
Active
Other names
MaineHealth Behavioral Health, Maine Behavioral Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
LUGENE ANTHONY INZANA (ASSOCIATE CFO)
(207) 661-7183
Entity
Organization
Contact information
Practice address
165 LANCASTER ST, PORTLAND, ME 04101-2406
(207) 874-1030
Mailing address
78 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
680905
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104760000
—
ME
05
—
104760001
—
ME
05
—
104760100
—
ME
05
—
104760201
—
ME
05
—
14760200
—
ME
Enumeration date
08/21/2018
Last updated
08/18/2025
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