Organization
PENOBSCOT COMMUNITY HEALTH CENTER
Active
Other names
PCHC Clubhouse
Organization subpart
No
Provider details
NPI number
Authorized official
LORI L. DWYER ESQ. (PRESIDENT & CEO)
(207) 992-9200
Entity
Organization
Contact information
Practice address
30 SUMMER ST, BANGOR, ME 04401
(207) 992-2636
(207) 992-2638
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 945-5247
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
611003
ME
Other
Enumeration date
12/30/2011
Last updated
08/06/2018
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