Provider Demographics
NPI:1740639699
Name:TWO CAPS VOCATIONAL SERVICES
Entity type:Organization
Organization Name:TWO CAPS VOCATIONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, EMPLOYMENT COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ALINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GAGNE
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:207-890-7995
Mailing Address - Street 1:893 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FRYEBURG
Mailing Address - State:ME
Mailing Address - Zip Code:04037-1523
Mailing Address - Country:US
Mailing Address - Phone:207-890-7995
Mailing Address - Fax:
Practice Address - Street 1:893 MAIN ST
Practice Address - Street 2:
Practice Address - City:FRYEBURG
Practice Address - State:ME
Practice Address - Zip Code:04037-1523
Practice Address - Country:US
Practice Address - Phone:207-890-7995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-10
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH271121OtherNH DEPARTMENT OF EDUCATION, VOCATIONAL REHABILITATION
MEVC0000212539OtherMAINE DEPARTMENT OF LABOR, DEPARTMENT OF VOCATIONAL REHABILITATION