Organization
PATHWAYS OF MAINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE T ZENGA (DIRECTOR OF OPERATIONS)
(207) 373-0620
Entity
Organization
Contact information
Practice address
16 BURBANK AVE, BRUNSWICK, ME 04011-2878
(207) 373-0620
(207) 373-0628
Mailing address
10304 SPOTSYLVANIA AVE, 3RD FLOOR, FREDERICKSBURG, VA 22408-8602
(540) 710-2800
(540) 710-7447
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
392123
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191700400
—
ME
Enumeration date
02/02/2007
Last updated
01/19/2016
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