Organization Name: | BEHAVIORAL HEALTH RESOURCES INC. |
NPI Number: | 1861464380 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER S FOURNIER (CREDENTIALING REP) |
Mailing Address: | 1000 Shore Rd Bldg #326 Cape Elizabeth |
State: | ME US |
Postal Code: | 04107 |
Phone Number: | 2077999006 |
Fax Number: | 2077676595 |
NPI Enumeration Date: | 02/07/2006 |
NPI Last Update Date: | 11/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |