# KENNEBEC VALLEY COMMUNITY ACTION PROGRAM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164666996
- **Authorized official:** MS. PAT KOSMAS (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (207) 859-1565

## Contact information

- **Practice address:** 97 WATER ST, WATERVILLE, WATERVILLE, ME 04901-6339
- **Practice address phone:** (207) 859-1565
- **Mailing address:** 97 WATER ST, WATERVILLE, WATERVILLE, ME 04901-6339
- **Mailing address phone:** (207) 859-1565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | ME | Yes |

## Other

- **Enumeration date:** 04/23/2009
- **Last updated:** 04/23/2009