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Organization

MAINE BEHAVIORAL HEALTHCARE

Active
Other names
Spring Harbor Community Services
Organization subpart
No

Provider details

NPI number
Authorized official
GREG BOWERS (EVP & COO)
(207) 253-2629
Entity
Organization

Contact information

Practice address
12 UNION ST, ROCKLAND, ME 04841-2739
(207) 701-4400
(207) 701-4485
Mailing address
78 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(207) 842-7701
(207) 842-7773

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
251S00000X
Community/Behavioral Health Agency
Primary
680905
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
132610000
ME
05
132610001
ME
05
132610002
ME
05
435657000
ME
05
435657001
ME
05
435657002
ME
05
435793100
ME
05
435793101
ME
Enumeration date
08/04/2006
Last updated
06/10/2014
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