Providence Service Corporation

NPI #1710222534 in Bath, Maine

Provider Information

NPI Number: 1710222534
Entity Type: Organization
Organization Name: Providence Service Corporation
Primary Specialty: Community/Behavioral Health
Enumeration Date: Dec 5, 2012
Last Updated: Dec 5, 2012

Practice Location

Address: 2 DAVENPORT CIR
Address 2: SUITE 4; ACHIEVE PROGRAM
City: Bath
State: Maine
ZIP Code: 04530-2880
Phone: (207) 443-6200

Authorized Official

Name: NICOLE ZENGA
Title: DIRECTOR OF OPERATIONS
Phone: (207) 373-0620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X	Primary

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