Manna Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MANNA INC

Practice address

629 Main St
Bangor, ME 04401-6848

Phone

(207) 990-2870

Fax

(207) 990-2298

NPI assigned

Jul 31, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Rae

Title

Director of Operations

Phone

(207) 990-2870

Specialties & licenses 2

Addresses

Tax ID family

Manna Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Manna Inc.

  • Substance Abuse Rehabilitation Facility
  • Bangor, ME
  • NPI 1205273786
  NPD tax ID
• Manna Inc.

  • Community/Behavioral Health Agency
  • Bangor, ME
  • NPI 1649614728
  NPD tax ID

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1760497200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2763",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044022763",
            "telephone_number": "207-990-2870",
            "fax_number": "207-990-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 MAIN ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016848",
            "telephone_number": "207-990-2870",
            "fax_number": "207-990-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "RAE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "207-990-2870"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "ME",
            "license": "453264",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Malvin, MHRT
• Earl Mamaril, MS OTR/L
• Kimberly L Manasco, FNPC
• Cynthia Mangan, LCPC
• Manna Inc
• Manna Inc.
• Manna Inc.
• Manna Inc.
• Becky Mansfield, LCPC-C
• Anas Mohammed Zaid Mansour, M.D

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bangor, ME
• Providers in Bangor, ME by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.