Organization
TIC-COUNTY MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER COPELAND (EXECUTIVE DIRECTOR)
(207) 783-9141
Entity
Organization
Contact information
Practice address
1155 LISBON ST, LEWISTON, ME 04240-5025
(207) 783-9141
(207) 783-4679
Mailing address
1155 LISBON ST, LEWISTON, ME 04240-5025
(207) 783-9141
(207) 783-4679
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
230341
ME
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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