| Organization Name: | BEHAVIORAL HEALTH RESOURCES OF MAINE INC |
| NPI Number: | 1811303373 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CONSTANCE W JORDAN (CEO) |
| Mailing Address: | 1000 Shore Rd Building # 326 Cape Elizabeth |
| State: | ME US |
| Postal Code: | 041071916 |
| Phone Number: | 2078382672 |
| Fax Number: | 2077676595 |
| NPI Enumeration Date: | 07/06/2014 |
| NPI Last Update Date: | 06/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | CNP81017 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |