Organization
ITOWA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORINNE RABON (OFFICE AND OPERATIONS MANAGER)
(207) 520-4290
Entity
Organization
Contact information
Practice address
400 CONGRESS ST STE 300, PORTLAND, ME 04101-3553
(207) 520-4290
Mailing address
PO BOX 11, GRAY, ME 04039-0011
(207) 520-4290
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
05/01/2025
Last updated
05/28/2025
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