Provider Demographics
NPI:1437384054
Name:MAINE VOCATIONAL ASSOCIATES, INC.
Entity Type:Organization
Organization Name:MAINE VOCATIONAL ASSOCIATES, INC.
Other - Org Name:MAINE VOCATIONAL & REHABILITATION ASSOCIATES, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-623-1898
Mailing Address - Street 1:PO BOX 5641
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04332-5641
Mailing Address - Country:US
Mailing Address - Phone:207-774-4248
Mailing Address - Fax:207-596-2476
Practice Address - Street 1:237 OXFORD ST
Practice Address - Street 2:SUITE 25A
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-3190
Practice Address - Country:US
Practice Address - Phone:207-774-4248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-27
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME131140100Medicaid
ME131140000Medicaid
ME131140101Medicaid
ME432903600Medicaid
ME131140200Medicaid