| NPI | 1568123594 |
|---|---|
| Other Name | BANGOR HIGH SCHOOL |
| Entity Type | Organization |
| Authorized Contact | LORELLE DWYER President & CEO 207-992-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2022-01-03 |