Provider Demographics
NPI:1568704062
Name:HART FOUNDATION INC
Entity Type:Organization
Organization Name:HART FOUNDATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:207-781-5445
Mailing Address - Street 1:87 WOODLANDS DR
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105-1189
Mailing Address - Country:US
Mailing Address - Phone:207-781-5445
Mailing Address - Fax:207-781-5447
Practice Address - Street 1:87 WOODLANDS DR
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-1189
Practice Address - Country:US
Practice Address - Phone:207-781-5445
Practice Address - Fax:207-781-5447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-22
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPS1028103TH0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealthGroup - Single Specialty