STATE OF MAINE

BANGOR, ME
NPI1184020091
Doing Business AsDOROTHEA DIX PSYCHIATRIC CENTER OUT PATIENT SERVICES
Entity TypeOrganization
Authorized ContactCAROL WEBB CODY
Financial Manager
207-941-4192
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: ME  681294)
Enumeration Date2014-11-05
Last Update Date2019-06-14
Business Address
STATE OF MAINE
656 STATE ST
BANGOR, ME 04401-5609
Phone number: 207-287-7418
Mailing Address
STATE OF MAINE
109 CAPITOL STREET SHS #11, REIMBURSEMENT UNIT
AUGUSTA, ME 04333-0011
Phone number: 207-287-7418