Organization
GREEN VALLEY ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC C QUINT (EXECUTIVE DIRECTOR)
(207) 463-2156
Entity
Organization
Contact information
Practice address
13 SEWALL STREET, ISLAND FALLS, ME 04747-0127
(207) 463-2823
(207) 463-2151
Mailing address
PO BOX 127, ISLAND FALLS, ME 04747-0127
(207) 463-2823
(207) 463-2151
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
ALLS 2245
ME
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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