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Organization

PERSONAL ONSITE DEVELOPMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANNE L COTE (EXECUTIVE DIRECTOR)
(207) 753-3221
Entity
Organization

Contact information

Practice address
100 MANLEY RD, AUBURN, ME 04210-3653
(207) 753-3221
(207) 753-3222
Mailing address
PO BOX 1507, LEWISTON, ME 04241-1507
(207) 753-3221
(207) 753-3222

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
251S00000X
Community/Behavioral Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
127210000
ME
Enumeration date
04/23/2008
Last updated
02/13/2024
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