Organization
SOUTHERN MAINE ADMINISTRATIVE COLLABORATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY A RAY (EXECUTIVE DIRECTOR)
(207) 282-8280
Entity
Organization
Contact information
Practice address
18 MAPLEWOOD AVE, BIDDEFORD, ME 04005-2110
(207) 282-8280
(207) 284-7956
Mailing address
18 MAPLEWOOD AVE, BIDDEFORD, ME 04005-2110
(207) 282-8280
(207) 284-7956
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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