Organization
OCEAN WAY MENTAL HEALTH AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE LYNNE TARDIFF (PRESIDENT)
(207) 354-8184
Entity
Organization
Contact information
Practice address
78 BEECHWOOD ST, THOMASTON, ME 04861-3621
(207) 354-8184
(207) 354-0487
Mailing address
78 BEECHWOOD ST, THOMASTON, ME 04861-3621
(207) 354-8184
(207) 354-0487
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
590803
ME
Other
Enumeration date
01/02/2013
Last updated
01/02/2013
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