| Connections For Kids | |
|
100 Gannett Dr Suite A South Portland ME 04106-5900 | |
| (207) 854-1030 | |
| (207) 854-1001 |
| Full Name | Connections For Kids |
|---|---|
| Speciality | Social Worker |
| Location | 100 Gannett Dr, South Portland, Maine |
| Authorized Official Name and Position | Genevieve Gardner (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2078541030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connections For Kids 100 Gannett Dr Suite A South Portland ME 04106-5900 Ph: (207) 854-1030 | Connections For Kids 100 Gannett Dr Suite A South Portland ME 04106-5900 Ph: (207) 854-1030 |
| NPI Number | 1538319744 |
|---|---|
| Provider Enumeration Date | 09/24/2008 |
| Last Update Date | 01/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538319744 | NPI | - | NPPES |
| 128860004 | Medicaid | ME | |
| 432955600 | Medicaid | ME | |
| 433455400 | Medicaid | ME | |
| 433457000 | Medicaid | ME | |
| 432955600 | Other | ME | MEDICAID FAMILY BRIDGE PROGRAM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 559381 (Maine) | Primary |
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