# BROADREACH FAMILY AND COMMUNITY SERVICES

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

## Provider details

- **NPI number:** 1639365349
- **Authorized official:** MR. CLAIR BRADSTREET (CFO)
- **Authorized official phone:** (207) 338-2200

## Contact information

- **Practice address:** 5 STEPHENSON LN, BELFAST, ME 04915-7230
- **Practice address phone:** (207) 338-2200
- **Practice address fax:** (207) 338-1652
- **Mailing address:** 5 STEPHENSON LN, BELFAST, ME 04915-7230
- **Mailing address phone:** (207) 338-2200
- **Mailing address fax:** (207) 338-1652

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251300000X | Local Education Agency (LEA) | 403530 | ME | Yes |
| 251B00000X | Case Management Agency | — | ME | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | ME | — |
| 251S00000X | Community/Behavioral Health Agency | — | ME | — |
| 252Y00000X | Early Intervention Provider Agency | — | ME | — |

## Other

- **Enumeration date:** 09/18/2007
- **Last updated:** 04/27/2009