Provider Demographics
NPI:1851541171
Name:SAFE VOICES
Entity Type:Organization
Organization Name:SAFE VOICES
Other - Org Name:ABUSED WOMEN'S ADVOCACY PROJECT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELISE
Authorized Official - Middle Name:M
Authorized Official - Last Name:JOHANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-795-6744
Mailing Address - Street 1:PO BOX 713
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:ME
Mailing Address - Zip Code:04212-0713
Mailing Address - Country:US
Mailing Address - Phone:207-795-6744
Mailing Address - Fax:207-795-6814
Practice Address - Street 1:484 MAIN STREET
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-0713
Practice Address - Country:US
Practice Address - Phone:207-795-6744
Practice Address - Fax:207-795-6814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME431978400Medicaid