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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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