Organization
FAMILY VIOLENCE PROJECT - T HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH K. SHEPHERD (EXECUTIVE DIRECTOR)
(207) 623-8637
Entity
Organization
Contact information
Practice address
35 JEFFERSON ST, AUGUSTA, ME 04330-4008
(207) 623-8637
(207) 621-6372
Mailing address
PO BOX 304, AUGUSTA, ME 04332-0304
(207) 623-8637
(207) 621-6372
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109610001
—
ME
Enumeration date
04/21/2009
Last updated
04/21/2009
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