| Manna Inc | |
|
629 Main St Bangor ME 04401-6848 | |
| (207) 990-2870 | |
| (207) 990-2298 |
| Full Name | Manna Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 629 Main St, Bangor, Maine |
| Authorized Official Name and Position | Mark Rae (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 2079902870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manna Inc Po Box 2763 Bangor ME 04402-2763 Ph: (207) 990-2870 | Manna Inc 629 Main St Bangor ME 04401-6848 Ph: (207) 990-2870 |
| NPI Number | 1760497200 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 09/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760497200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | 453264 (Maine) | Secondary |
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