Provider Demographics
NPI:1942470349
Name:NEW ENGLAND FAMILY INSTITUTE
Entity Type:Organization
Organization Name:NEW ENGLAND FAMILY INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:FITZGERALD
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:207-871-1000
Mailing Address - Street 1:95 EXCHANGE ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04101-5037
Mailing Address - Country:US
Mailing Address - Phone:207-871-1000
Mailing Address - Fax:207-773-0472
Practice Address - Street 1:95 EXCHANGE ST.
Practice Address - Street 2:STE 100
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-5037
Practice Address - Country:US
Practice Address - Phone:207-871-1000
Practice Address - Fax:207-773-0472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELMFT460101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty