State of Maine

NPI #1649413360 in Augusta, Maine

Provider Information

NPI Number
1649413360
Entity Type
Organization
Organization Name
State of Maine
Primary Specialty
Case Management
Enumeration Date
Apr 10, 2009
Last Updated
Jun 14, 2019

Practice Location

Address
32 BLOSSOM LN
State
Maine
ZIP Code
04333-0001
Phone
(207) 287-4242

Authorized Official

Name
JENNIFER GAGNON
Title
FINANCIAL MANAGER
Phone
(207) 624-4675

Specialties & Taxonomy Codes

Specialty
Case Management

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