Organization
PROTEA BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROWENA TESSMANN PHD (EXECUTIVE DIRECTOR)
(207) 992-7010
Entity
Organization
Contact information
Practice address
33 STATE ST, BANGOR, ME 04401-5038
(207) 992-7010
(207) 992-7011
Mailing address
33 STATE ST, BANGOR, ME 04401-5038
(207) 992-7010
(207) 992-7011
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031509
ANTHEM FACILITY ID#
ME
05
—
1003100101
—
ME
Enumeration date
06/29/2006
Last updated
08/22/2020
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