Organization
COMMUNTY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELISE F MILLER LCPC-C (HCT - CLINICIAN)
(207) 944-6024
Entity
Organization
Contact information
Practice address
40 SUMMER, COMMUNITY CARE, BANGOR, ME 04401-3105
(207) 945-4240
Mailing address
731 OHIO ST, BANGOR, ME 04401-3105
(207) 944-6024
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
XL4026
ME
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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