Organization
PARK STREET GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M HOUST (PRESIDENT)
(207) 594-4985
Entity
Organization
Contact information
Practice address
58 PARK ST, SUITE 202, ROCKLAND, ME 04841
(207) 594-4985
(207) 594-4974
Mailing address
58 PARK ST, SUITE 202, ROCKLAND, ME 04841
(207) 594-4985
(207) 594-4974
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
100360000
ME
Other
Enumeration date
03/08/2006
Last updated
07/14/2009
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