Provider First Line Business Practice Location Address:
215 CONGRESS ST
Provider Second Line Business Practice Location Address:
PROP CHILD AND FAMILY SERVICE -EAST END
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04101-3621
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-553-5822
Provider Business Practice Location Address Fax Number:
207-780-9823
Provider Enumeration Date:
09/29/2010