Organization
BISHOP HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CHRISTOPHER BURO (MANAGER)
(207) 910-6580
Entity
Organization
Contact information
Practice address
100 GANNETT DR STE B, SOUTH PORTLAND, ME 04106-5900
(207) 742-8558
Mailing address
1250 FOREST AVE STE 201, PORTLAND, ME 04103-6403
(207) 910-6580
(207) 910-6577
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
02/25/2022
Last updated
08/03/2023
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