Provider Demographics
NPI:1629371471
Name:COASTAL MAINE BEHAVIORAL HEALTH INC.
Entity type:Organization
Organization Name:COASTAL MAINE BEHAVIORAL HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-338-5961
Mailing Address - Street 1:96 HIGH ST
Mailing Address - Street 2:A
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-6344
Mailing Address - Country:US
Mailing Address - Phone:207-338-5961
Mailing Address - Fax:207-338-5962
Practice Address - Street 1:96 HIGH ST.
Practice Address - Street 2:A
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915
Practice Address - Country:US
Practice Address - Phone:207-338-5961
Practice Address - Fax:207-338-5962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-17
Last Update Date:2010-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management