Organization
COMMUNITY HEALTH AND COUNSELING SERVICES
Active
Parent organization
COMMUNITY HEALTH AND COUNSELING SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HEALTH AND COUNSELING SERVICES
Authorized official
DALE HAMILTON (EXECUTIVE DIRECTOR)
(207) 947-0366
Entity
Organization
Contact information
Practice address
42 CEDAR ST, BANGOR, ME 04402
(207) 947-0366
Mailing address
42 CEDAR STREET, PO BOX 425, BANGOR, ME 04402-0425
(207) 947-0366
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
220861
ME
253J00000X
Foster Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
220861
ME
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
220861
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101750000
—
ME
01
—
ATO
ANTHEM
ME
01
—
CB4118
RAILROAD MEDICARE
ME
Enumeration date
12/20/2006
Last updated
12/02/2024
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