NPI 1982949699

Providence Service Corporation

Organisation Community/Behavioral Health Agency Springvale, ME

Practice location

Address: 469 Main St, Springvale, ME 04083-1870
Phone: (207) 490-6600
Mailing address: PO Box 758866, Baltimore, MD 21275-8866

Authorised official

Name: Nicole Zenga
Title: Director of Operations
Phone: (207) 373-0620

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 392123 (ME)

Other Community/Behavioral Health providers in Maine →

Registry record

NPI: 1982949699
Entity type: Organization
NPI issued: 6 Dec 2012
Record last updated: 6 Dec 2012

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.