| Community Supports | |
|
203 Maine Ave Bangor ME 04401-4331 | |
| (207) 848-5804 | |
| (207) 848-7978 |
| Full Name | Community Supports |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 203 Maine Ave, Bangor, Maine |
| Authorized Official Name and Position | Melinda Ward (C.E.O.) |
| Authorized Official Contact | 2076051256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Supports 203 Maine Ave Bangor ME 04401-4331 Ph: (207) 848-5804 | Community Supports 203 Maine Ave Bangor ME 04401-4331 Ph: (207) 848-5804 |
| NPI Number | 1457426561 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 11/08/2023 |
| Certification Date | 11/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457426561 | NPI | - | NPPES |
| 109800100 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 230521 (Maine) | Primary |
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