Organization
PROVIDENCE SERVICE CORPORATION OF MAINE
Active
Organization
PROVIDENCE SERVICE CORPORATION OF MAINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATE HAYWARD LCSW (DIRECTOR OF INTEGRATED COUNSELING)
(207) 373-0620
Entity
Organization
Contact information
Practice address
14 MAINE ST, SUITE 202, BOX 50, BRUNSWICK, ME 04011-2049
(207) 373-0620
(207) 373-0628
Mailing address
14 MAINE ST, SUITE 202, BOX 50, BRUNSWICK, ME 04011-2049
(207) 373-0620
(207) 373-0628
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LC4580
ME
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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