Provider Demographics
NPI:1861610149
Name:FAMILIES UNITED OF WASHINGTON COUNTY
Entity type:Organization
Organization Name:FAMILIES UNITED OF WASHINGTON COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:J
Authorized Official - Last Name:WEGRZYN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:207-255-3000
Mailing Address - Street 1:PO BOX 746
Mailing Address - Street 2:130 UPPER COURT ST
Mailing Address - City:MACHIAS
Mailing Address - State:ME
Mailing Address - Zip Code:04654-0746
Mailing Address - Country:US
Mailing Address - Phone:207-255-3000
Mailing Address - Fax:207-255-3030
Practice Address - Street 1:130 UPPER COURT ST
Practice Address - Street 2:
Practice Address - City:MACHIAS
Practice Address - State:ME
Practice Address - Zip Code:04645-0000
Practice Address - Country:US
Practice Address - Phone:207-255-3000
Practice Address - Fax:207-255-3030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME221621101YM0800X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Not Answered251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEESMM9288Medicare ID - Type UnspecifiedMENTAL HEALTH SERVICES