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Organization

GREEN VALLEY ASSOCIATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC C QUINT (EXECUTIVE DIRECTOR)
(207) 463-2156
Entity
Organization

Contact information

Practice address
69 DAVID STREET, ISLAND FALLS, ME 04747-0127
(207) 463-2156
(207) 463-2151
Mailing address
PO BOX 127, ISLAND FALLS, ME 04747-0127
(207) 463-2156
(207) 463-2151

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
239441
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104300200
ME
Enumeration date
01/08/2007
Last updated
01/12/2009
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