Organization
CASA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNE WALP (EXECUTIVE DIRECTOR)
(207) 879-6165
Entity
Organization
Contact information
Practice address
741 WARREN AVE, PORTLAND, ME 04103-1007
(207) 879-6165
Mailing address
PO BOX 150, WESTBROOK, ME 04098-0150
(207) 879-6165
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
623144
ME
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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