| Supported Employment | |
|
572 Bangor Rd Dover Foxcroft ME 04426 | |
| (207) 564-2464 | |
| (207) 564-2404 |
| Full Name | Supported Employment |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 572 Bangor Rd, Dover Foxcroft, Maine |
| Authorized Official Name and Position | Richard M Brown (CEO) |
| Authorized Official Contact | 2075642464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supported Employment 572 Bangor Rd Dover Foxcroft ME 04426 Ph: (207) 564-2464 | Supported Employment 572 Bangor Rd Dover Foxcroft ME 04426 Ph: (207) 564-2464 |
| NPI Number | 1447325733 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 11/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447325733 | NPI | - | NPPES |
| 164840601 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Wellness Center Of Maine Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1048 South St, Dover Foxcroft, ME 04426 Phone: 207-564-3000 Fax: 207-422-7339 | |
Ready Set Grow Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Engdahl Dr, Dover Foxcroft, ME 04426 Phone: 207-564-0155 | |
Charlotte White Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 572 Bangor Rd, Dover Foxcroft, ME 04426 Phone: 207-564-2464 Fax: 207-564-2404 | |
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