| Kidspeace New England | |
|
444 Stillwater Ave Suite 204 Bangor ME 04401-3521 | |
| (207) 941-1414 | |
| (207) 947-6278 |
| Full Name | Kidspeace New England |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 444 Stillwater Ave, Bangor, Maine |
| Authorized Official Name and Position | Suzanne Lynn King (CLINICIAN) |
| Authorized Official Contact | 2079411414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidspeace New England 444 Stillwater Ave Suite 204 Bangor ME 04401-3521 Ph: (207) 941-1414 | Kidspeace New England 444 Stillwater Ave Suite 204 Bangor ME 04401-3521 Ph: (207) 941-1414 |
| NPI Number | 1245628478 |
|---|---|
| Provider Enumeration Date | 12/22/2014 |
| Last Update Date | 12/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245628478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | XL4436 (Maine) | Primary |
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