| Care Development Of Maine | |
|
51 4th St Bangor ME 04401-6140 | |
| (207) 941-2824 | |
| (207) 941-2845 |
| Full Name | Care Development Of Maine |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 51 4th St, Bangor, Maine |
| Authorized Official Name and Position | Cynthia Michelle Peterson (CLINICAL SUPERVISOR) |
| Authorized Official Contact | 2079412824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Care Development Of Maine Po Box 923 Bangor ME 04402-0923 Ph: (207) 941-2824 | Care Development Of Maine 51 4th St Bangor ME 04401-6140 Ph: (207) 941-2824 |
| NPI Number | 1437370277 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437370277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MC9998 (Maine) | Primary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | MC9998 (Maine) | Primary |
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