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
Update your record
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