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Contact Information

DIRIGO COUNSELING CLINIC, LLC
557 HAMMOND ST
BANGOR, ME04401-4511
 Phone: 207-973-0505
 Fax: 207-942-2175
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for DIRIGO COUNSELING CLINIC, LLC

NPI Number 1295734085
LBN Legal business name DIRIGO COUNSELING CLINIC, LLC
Authorized official ALAN ALGEE - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/14/2005
Last updated 10/23/2016 - About 10 years ago
Identifiers
ME License # 527039
ME License # 600402
ME Medicaid 432471100
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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