Organization
UNITED CEREBRAL PALSY OF NORTHEASTERN MAINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBI JO YEAGER (EXECUTIVE DIRECTOR)
(207) 941-2952
Entity
Organization
Contact information
Practice address
159 HOGAN RD, BANGOR, ME 04401-5603
(207) 941-2952
(207) 941-2955
Mailing address
700 MOUNT HOPE AVE, STE 320, BANGOR, ME 04401-5691
(207) 941-2952
(207) 941-2955
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
37027
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167950102
—
ME
Enumeration date
06/25/2009
Last updated
06/25/2009
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