Organization
BEHAVIORAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE ST. LOUIS (PRACTICE MANAGER)
(207) 941-0879
Entity
Organization
Contact information
Practice address
77 COURT STREET, BANGOR, ME 04401
(207) 941-0879
(207) 941-0880
Mailing address
77 COURT STREET, BANGOR, ME 04401
(207) 941-0879
(207) 941-0880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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