Organization
STATE OF MAINE
Active
Other names
OES
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL J BEGIN (DEPUTY COMMISSIONER OF FINANCE)
(207) 287-5758
Entity
Organization
Contact information
Practice address
32 BLOSSOM LN, AUGUSTA, ME 04333-0011
(207) 287-9200
(207) 287-9229
Mailing address
221 STATE ST, SHS #11, AUGUSTA, ME 04330-6846
(207) 287-7418
(207) 287-1862
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
NONE
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135910302
—
ME
Enumeration date
12/17/2009
Last updated
12/17/2009
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