Organization
TOWN OF KITTERY
Active
Other names
Kittery School Department
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LANE (SPECIAL SERVICES ADMINISTRATIVE AST)
(207) 475-1331
Entity
Organization
Contact information
Practice address
200 ROGERS RD, KITTERY, ME 03904-1458
(207) 475-1331
Mailing address
200 ROGERS RD, KITTERY, ME 03904-1458
(207) 475-1331
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112200000
MAINECARE - SCHOOL BASED REHABILITATIVE SERVICES
ME
01
—
112200001
MAINECARE - DAY TREATMENT SERVICES
ME
05
—
1225366289
—
ME
Enumeration date
12/02/2009
Last updated
08/20/2020
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