Provider Demographics
NPI:1932891553
Name:WESTERN MAINE COMMUNITY ACTION
Entity Type:Organization
Organization Name:WESTERN MAINE COMMUNITY ACTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, FAMILY & HEALTH SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:KOBI
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:207-860-4492
Mailing Address - Street 1:PO BOX 200
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:ME
Mailing Address - Zip Code:04294-0200
Mailing Address - Country:US
Mailing Address - Phone:207-860-4492
Mailing Address - Fax:207-645-9604
Practice Address - Street 1:20A CHURCH STREET
Practice Address - Street 2:
Practice Address - City:EAST WILTON
Practice Address - State:ME
Practice Address - Zip Code:04234
Practice Address - Country:US
Practice Address - Phone:207-860-4492
Practice Address - Fax:207-645-9604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management