Organization
MAINE GROWTH OPPORTUNITIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN A CATTOGGIO BS (PROGRAM DIRECTOR)
(207) 897-5088
Entity
Organization
Contact information
Practice address
611 RIDGE RD, CHESTERVILLE, ME 04938-3607
(207) 897-5088
Mailing address
611 RIDGE RD, CHESTERVILLE, ME 04938-3607
(207) 897-5088
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
432059900
WAIVER
ME
01
—
432060000
FREE STANDING DAY HAB
ME
Enumeration date
04/23/2007
Last updated
09/16/2008
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