Organization
SPURWINK SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN STILES LCSW (PRESIDENT)
(207) 871-1200
Entity
Organization
Contact information
Practice address
587 OCEAN AVE, PORTLAND, ME 04103-2701
(207) 871-1582
(207) 871-9276
Mailing address
899 RIVERSIDE ST, PORTLAND, ME 04103-1070
(207) 871-1200
(207) 871-1232
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
229881
ME
252Y00000X
Early Intervention Provider Agency
502759
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105920000
—
ME
Enumeration date
04/13/2009
Last updated
04/13/2009
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