Integrated Behavioral Healthcare

LBN: Integrated Behavioral Healthcare
Integrated Behavioral Healthcare is an health care organization with primary practice located at 1 Forest Ave , Portland ME 04101-2810. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Integrated Behavioral Healthcare can be contacted via phone (207) 761-4761, or through Clark, Gordon via phone (207) 761-4761.

Contact Information

Primary practice address
1 Forest Ave Portland ME 04101-2810
Phone: (207) 761-4761
Fax: (207) 780-1727
Website:
Map and Directions
Authorized official contact:
Name: Clark, Gordon Doctor of Medicine (MD)
Phone: (207) 761-4761

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1639131287
LBN Legal business name Integrated Behavioral Healthcare
DBA Doing business as
Authorized official Clark, Gordon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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