| The Opportunity Alliance | |
|
190 Lancaster St Portland ME 04101-2056 | |
| (207) 874-1175 | |
| (207) 842-6886 |
| Full Name | The Opportunity Alliance |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 190 Lancaster St, Portland, Maine |
| Authorized Official Name and Position | Dawn Ouellette (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2078741175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Opportunity Alliance 50 Lydia Ln South Portland ME 04106-2156 Ph: (207) 874-1175 | The Opportunity Alliance 190 Lancaster St Portland ME 04101-2056 Ph: (207) 874-1175 |
| NPI Number | 1942328356 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 09/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942328356 | NPI | - | NPPES |
| 0003210 | Other | ME | MEDICARE PTAN |
| 105460303 | Medicaid | ME |
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