Organization
ALLIES, INC.
Active
Organization
ALLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA HENDERLONG (EXECUTIVE DIRECTOR)
(207) 941-8727
Entity
Organization
Contact information
Practice address
21 MAIN ST STE 301, BANGOR, ME 04401-6359
(207) 941-8727
(207) 992-2784
Mailing address
21 MAIN ST STE 301, BANGOR, ME 04401-6359
(207) 941-8727
(207) 992-2784
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
251B00000X
Case Management Agency
Primary
376101
ME
251S00000X
Community/Behavioral Health Agency
376101
ME
Other
Enumeration date
02/21/2007
Last updated
09/13/2007
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