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Organization

PATHWAYS OF MAINE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE ZENGA (DIRECTOR OF OPERATIONS)
(207) 373-0620
Entity
Organization

Contact information

Practice address
80 MAIN STREET, SUITE 401, BANGOR, ME 04401
(207) 373-0620
Mailing address
10304 SPOTSYLVANIA AVE, 3RD FLOOR, FREDERICKSBURG, VA 22408-8602

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
392123
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
191700000
ME
Enumeration date
03/27/2012
Last updated
01/19/2016
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