Healthcare Provider Details

I. General information

NPI: 1255499711
Provider Name (Legal Business Name): GROWING OPPORTUNITIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 05/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 LONGFELLOW SQ SUITE 303
PORTLAND ME
04101-3792
US

IV. Provider business mailing address

1 LONGFELLOW SQ SUITE 303
PORTLAND ME
04101-3792
US

V. Phone/Fax

Practice location:
  • Phone: 207-253-5169
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. RHONDA JUNEAU
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 207-253-5169