Organization
MSAD #56
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON GOGUEN (DIRECTOR OF SPECIAL SERVICES)
(207) 548-2312
Entity
Organization
Contact information
Practice address
30 MORTLAND RD, SEARSPORT, ME 04974-6311
(207) 548-2312
Mailing address
30 MORTLAND RD, SEARSPORT, ME 04974-6311
(207) 548-2312
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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