Organization
AQUILA MENTAL HEALTH SERVICES PA SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI JEAN BROWN PMHNP, BC (OWNER)
(207) 992-6269
Entity
Organization
Contact information
Practice address
175 UNION ST STE C, BANGOR, ME 04401-6100
(207) 992-6269
(207) 433-1032
Mailing address
175 UNION ST STE C, BANGOR, ME 04401-6100
(207) 992-6269
(207) 433-1032
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
81132
ME
Other
Enumeration date
12/12/2011
Last updated
04/30/2012
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