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Contact Information

BROADLEAF BEHAVIORAL HEALTH PC
9 OLD SAWMILL LN
ARUNDEL, ME04046-8164
 Phone: 207-985-8998
 Fax: 207-985-1281
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for BROADLEAF BEHAVIORAL HEALTH PC

NPI Number 1689755530
LBN Legal business name BROADLEAF BEHAVIORAL HEALTH PC
Authorized official DAVID JONES - (SOLE PROPRIETOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/18/2006
Last updated 04/13/2010 - About 16 years ago
Identifiers
ME License # ME1558
ME Medicaid 431879600
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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