Organization
UNITED CEREBRAL PALSY OF NORTHEASTERN MAINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDY MADORE (BILLING SPECIALIST)
(207) 992-0602
Entity
Organization
Contact information
Practice address
700 MOUNT HOPE AVE, SUITE 320, BANGOR, ME 04401-5691
(207) 992-0602
Mailing address
700 MOUNT HOPE AVE, SUITE 320, BANGOR, ME 04401-5691
(207) 992-0602
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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