Organization
PORTLAND WEST INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM L PEARSON MSSA (DIRECTOR OF PROGRAMS)
(207) 775-0105
Entity
Organization
Contact information
Practice address
181 BRACKETT ST, PORTLAND, ME 04102-3857
(207) 775-0105
(207) 780-1701
Mailing address
181 BRACKETT ST, PORTLAND, ME 04102-3857
(207) 775-0105
(207) 780-1701
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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