Organization
THE OPPORTUNITY ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN HAWLEY (REVENUE MANAGER)
(207) 523-5018
Entity
Organization
Contact information
Practice address
50 LYDIA LN, SOUTH PORTLAND, ME 04106-2156
(207) 874-1175
(207) 874-1181
Mailing address
50 LYDIA LN, SOUTH PORTLAND, ME 04106-2156
(207) 874-1175
(207) 874-1181
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105460000
—
ME
05
—
105460005
—
ME
05
—
105460008
—
ME
05
—
105460010
—
ME
05
—
105460011
—
ME
Enumeration date
06/02/2009
Last updated
10/09/2018
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