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Organization

MANNA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK RAE (DIRECTOR OF OPERATIONS)
(207) 990-2870
Entity
Organization

Contact information

Practice address
629 MAIN ST, BANGOR, ME 04401-6848
(207) 990-2870
(207) 990-2298
Mailing address
PO BOX 2763, BANGOR, ME 04402-2763
(207) 990-2870
(207) 990-2298

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
324500000X
Substance Abuse Rehabilitation Facility
453264
ME

Other

Enumeration date
07/31/2006
Last updated
09/11/2025
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