Organization
MAINE ADMINISTRATIVE SCHOOL DISTRICT NO 61
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA B CARON (DIRECTOR OF SPECIAL SERVICES)
(207) 627-4578
Entity
Organization
Contact information
Practice address
900 BRIDGTON ROAD, BRIDGTON, ME 04009
(207) 627-4578
(207) 627-4576
Mailing address
900 BRIDGTON ROAD, BRIDGTON, ME 04009
(207) 627-4578
(207) 627-4576
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103970000
—
ME
Enumeration date
05/08/2007
Last updated
10/05/2018
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