Organization
FAMILY VIOLENCE PROJECT SHELTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH K SHEPHERD (EXECUTIVE DIRECTOR)
(207) 623-8637
Entity
Organization
Contact information
Practice address
83 WESTERN AVE, AUGUSTA, ME 04332-0304
(207) 623-8637
(207) 621-6372
Mailing address
PO BOX 304, AUGUSTA, ME 04332-0304
(207) 623-8637
(207) 621-6372
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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