| Organization Name: | STATE OF MAINE |
| NPI Number: | 1356678387 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JIANCHENG HUANG (DIRECTOR) |
| Mailing Address: | 286 Water Street 9th Floor Augusta |
| State: | ME US |
| Postal Code: | 043330011 |
| Phone Number: | 2072873746 |
| Fax Number: | 2072878127 |
| NPI Enumeration Date: | 11/12/2009 |
| NPI Last Update Date: | 08/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |