Organization
MAINEGENERAL HEALTH
Active
Organization
MAINEGENERAL HEALTH
Active
Other names
MaineGeneral Community Care Residential Services, HealthReach Network, MGMC Residential Services
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY PIZZO (DIRECTOR OF FINANCE)
(207) 861-3451
Entity
Organization
Contact information
Practice address
10 WATER ST, SUITE 306, WATERVILLE, ME 04901-6559
(207) 861-3488
(207) 861-3470
Mailing address
10 WATER ST, SUITE 306, WATERVILLE, ME 04901-6559
(207) 861-3488
(207) 861-3470
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
230503
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132510100
—
ME
Enumeration date
12/13/2006
Last updated
08/23/2019
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