Organization
TRI-COUNTY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE S. HUTCHINSON (PATIENT ACCOUNTS MGR)
(207) 755-0036
Entity
Organization
Contact information
Practice address
1155 LISBON ST, LEWISTON, ME 04240-5025
(207) 783-9141
(207) 755-0045
Mailing address
49 WILLIAM ST APT 2, PORTLAND, ME 04103-4882
(207) 317-0471
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R050690
ME
Other
Enumeration date
10/05/2006
Last updated
08/22/2020
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