React Behavioral Health, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

REACT BEHAVIORAL HEALTH, LLC

Practice address

5 Bragdon LN Ste 3
Kennebunk, ME 04043-7262

Phone

(207) 251-5842

NPI assigned

Feb 25, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pedro Revolorio

Title

Ceo

Phone

(207) 251-5842

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551052800000",
    "number": "1275090458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CIRCUIT RD",
            "city": "BERWICK",
            "state": "ME",
            "postal_code": "039012872",
            "telephone_number": "207-251-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BRAGDON LN STE 3",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040437262",
            "telephone_number": "207-251-5842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACT BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-25",
        "status": "A",
        "authorized_official_last_name": "REVOLORIO",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-251-5842"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Kennebunk, ME
• Providers in Kennebunk, ME by specialty
• Community/Behavioral Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.