| Integrated Behavioral Healthcare | |
|
1 Forest Ave Portland ME 04101-2810 | |
| (207) 761-4761 | |
| (207) 780-1727 |
| Full Name | Integrated Behavioral Healthcare |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1 Forest Ave, Portland, Maine |
| Authorized Official Name and Position | Gordon Clark (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2077614761 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Behavioral Healthcare 1 Forest Ave Portland ME 04101-2810 Ph: (207) 761-4761 | Integrated Behavioral Healthcare 1 Forest Ave Portland ME 04101-2810 Ph: (207) 761-4761 |
| NPI Number | 1639131287 |
|---|---|
| Provider Enumeration Date | 04/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639131287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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