# BACK TO BASICS CHILDCARE CENTER, INC.

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

## Provider details

- **NPI number:** 1366879157
- **Authorized official:** MRS. ANITA K. GROVER CDA (OWNER/DIRECTOR)
- **Authorized official phone:** (207) 651-8538

## Contact information

- **Practice address:** 44 DEPOT RD, LEBANON, ME 04027-3347
- **Practice address phone:** (207) 457-1838
- **Practice address fax:** (207) 457-6056
- **Mailing address:** 44 DEPOT RD, LEBANON, ME 04027-3347
- **Mailing address phone:** (207) 457-1838
- **Mailing address fax:** (207) 457-6056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 391616 | ME | Yes |

## Other

- **Enumeration date:** 10/11/2013
- **Last updated:** 10/11/2013