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Organization

PENQUIS C.A.P., INC.

Active
Other names
MH Community Support
Organization subpart
No

Provider details

NPI number
Authorized official
KARA HAY (CEO)
(207) 973-3500
Entity
Organization

Contact information

Practice address
262 HARLOW ST, BANGOR, ME 04401-4952
(207) 973-3500
Mailing address
PO BOX 1162, BANGOR, ME 04402-1162
(207) 973-3500

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
164840300
ME
Enumeration date
11/17/2006
Last updated
12/10/2018
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