| Green Valley Association | |
|
69 David Street Island Falls ME 04747-0127 | |
| (207) 463-2156 | |
| (207) 463-2151 |
| Full Name | Green Valley Association |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |