Provider Demographics
NPI:1831987395
Name:COE BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:COE BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:C
Authorized Official - Last Name:ROSTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-809-9374
Mailing Address - Street 1:148 JENKINS RD
Mailing Address - Street 2:
Mailing Address - City:SACO
Mailing Address - State:ME
Mailing Address - Zip Code:04072-9664
Mailing Address - Country:US
Mailing Address - Phone:818-809-9374
Mailing Address - Fax:
Practice Address - Street 1:148 JENKINS RD
Practice Address - Street 2:
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072-9664
Practice Address - Country:US
Practice Address - Phone:818-809-9374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)