Organization
PENQUIS C.A.P., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARA HAY (CEO)
(207) 973-3500
Entity
Organization
Contact information
Practice address
262 HARLOW ST, BANGOR, ME 04401-4952
(207) 973-3500
Mailing address
PO BOX 1162, BANGOR, ME 04402-1162
(207) 973-3500
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
220724
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164840301
—
ME
Enumeration date
07/19/2005
Last updated
12/10/2018
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