PENOBSCOT COMMUNITY HEALTH CENTER NPI 1629348156

NPI Details

PENOBSCOT COMMUNITY HEALTH CENTER is a community behavioral health in Bangor, ME. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PENOBSCOT COMMUNITY HEALTH CENTER NPI is 1629348156. The provider is registered as an organization entity type.
The provider Is Doing Business As Pchc Clubhouse.

The provider's business location address is:

30 SUMMER ST
BANGOR, ME
ZIP 04401
Phone: (207) 992-2636
Fax: (207) 992-2638

The provider's authorized official is Lori L. Dwyer .
The authorized official title is President & Ceo and has the following contact phone number (207) 992-9200.

The enumeration date for this NPI number is 12/30/2011 and was last updated on 8/6/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: