Midcoast Maine Community Action

NPI #1700115755 in Bath, Maine

Provider Information

NPI Number: 1700115755
Entity Type: Organization
Organization Name: Midcoast Maine Community Action
Primary Specialty: Case Management
Enumeration Date: Dec 21, 2009
Last Updated: Dec 21, 2009

Practice Location

Address: 34 WING FARM PKWY
City: Bath
State: Maine
ZIP Code: 04530-1550
Phone: (207) 442-7963

Authorized Official

Name: MS. JESSICA A TYSEN
Title: EXECUTIVE DIRECTOR
Phone: (207) 442-7963

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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