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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