Organization
ANNIE E. CASEY FOUNDATION
Active
Other names
Casey Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK MILLAR (DIVISION DIRECTOR)
(207) 772-4110
Entity
Organization
Contact information
Practice address
75 WASHINGTON AVE, PORTLAND, ME 04101-2665
(207) 772-4110
(207) 761-0748
Mailing address
75 WASHINGTON AVE, PORTLAND, ME 04101-2665
(207) 772-4110
(207) 761-0748
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
206809
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176780000
—
ME
05
—
176780100
—
ME
Enumeration date
04/04/2006
Last updated
07/28/2009
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