Provider Demographics
NPI:1952631673
Name:GREAT EXPECTATIONS
Entity Type:Organization
Organization Name:GREAT EXPECTATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOCKING
Authorized Official - Suffix:
Authorized Official - Credentials:SPED
Authorized Official - Phone:207-892-4932
Mailing Address - Street 1:92 MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:EAST BALDWIN
Mailing Address - State:ME
Mailing Address - Zip Code:04024-4029
Mailing Address - Country:US
Mailing Address - Phone:207-892-4932
Mailing Address - Fax:
Practice Address - Street 1:17 VETERANS MEMORIAL DRIVE
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:ME
Practice Address - Zip Code:04062
Practice Address - Country:US
Practice Address - Phone:207-892-4932
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-31
Last Update Date:2009-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency