Green Valley Association | |
69 David Street Island Falls ME 04747-0127 | |
(207) 463-2156 | |
(207) 463-2151 |
Full Name | Green Valley Association |
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Speciality | Community/behavioral Health |
Location | 69 David Street, Island Falls, Maine |
Authorized Official Name and Position | Eric C Quint (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2074632156 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Green Valley Association Po Box 127 Island Falls ME 04747-0127 Ph: (207) 463-2156 | Green Valley Association 69 David Street Island Falls ME 04747-0127 Ph: (207) 463-2156 |
NPI Number | 1407904956 |
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Provider Enumeration Date | 01/08/2007 |
Last Update Date | 01/12/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407904956 | NPI | - | NPPES |
104300200 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 239441 (Maine) | Primary |