NPI 1033398680

The Jason Program

Organisation Specialist Portland, ME

Practice location

Address: 65 Washington Ave, Portland, ME 04101-2617
Phone: (207) 773-2947
Fax: (207) 773-3617

Authorised official

Name: Diana H Hurd
Title: Practice Manager
Phone: (207) 773-2947

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 012046 (ME)

Other Specialist providers in Maine →

Registry record

NPI: 1033398680
Entity type: Organization
NPI issued: 31 Oct 2007
Record last updated: 31 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.