Organization
WASHINGTON HANCOCK COMMUNITY AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN DAVID BEAN (FINANCE DIRECTOR)
(207) 664-2424
Entity
Organization
Contact information
Practice address
248 BUCKSPORT ROAD, ELLSWORTH, ME 04605
(207) 664-2424
(207) 664-2430
Mailing address
PO BOX 299, ELLSWORTH, ME 04605
(207) 664-2424
(207) 664-2430
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168000000
—
ME
Enumeration date
05/05/2009
Last updated
05/05/2009
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