Organization
LEARNINGWORKS (FORMERLY PORTLAND WEST)
Active
Other names
Portland West
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E. DODGE (CHIEF FINANCIAL OFFICER)
(207) 775-0105
Entity
Organization
Contact information
Practice address
181 BRACKETT ST., PORTLAND, ME 04102
(207) 775-0105
(207) 775-1392
Mailing address
181 BRACKETT ST., PORTLAND, ME 04102
(207) 775-0105
(207) 775-1392
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
566270
ME
251S00000X
Community/Behavioral Health Agency
Primary
566270
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135530099
—
ME
05
—
432302099
—
ME
05
—
432506499
—
ME
Enumeration date
04/16/2008
Last updated
10/02/2012
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