Provider Demographics
NPI:1346484466
Name:MAINE FAMILY RESOURCE CENTER
Entity Type:Organization
Organization Name:MAINE FAMILY RESOURCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED AGENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:IRISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-448-2383
Mailing Address - Street 1:31A HOULTON RD
Mailing Address - Street 2:
Mailing Address - City:DANFORTH
Mailing Address - State:ME
Mailing Address - Zip Code:04424-3138
Mailing Address - Country:US
Mailing Address - Phone:207-448-2383
Mailing Address - Fax:
Practice Address - Street 1:31A HOULTON RD
Practice Address - Street 2:
Practice Address - City:DANFORTH
Practice Address - State:ME
Practice Address - Zip Code:04424-3138
Practice Address - Country:US
Practice Address - Phone:207-448-2383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency