Organization
KENNEBEC VALLEY MENTAL HEALTH CENTER
Active
Parent organization
KENNEBEC MENTAL HEALTH ASSOCIATES
Other names
Kennebec Behavioral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENNEBEC MENTAL HEALTH ASSOCIATES
Authorized official
MR. THOMAS J MCADAM (CEO)
(207) 873-2136
Entity
Organization
Contact information
Practice address
67 EUSTIS PKWY, WATERVILLE, ME 04901-5173
(207) 873-2136
(207) 872-4522
Mailing address
67 EUSTIS PKWY, WATERVILLE, ME 04901-5173
(207) 873-2136
(207) 872-4522
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
222762
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102980002
—
ME
Enumeration date
09/16/2009
Last updated
09/16/2009
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