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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