Organization
KENNEBEC VALLEY COMMUNITY ACTION PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAT KOSMA (CHIEF EXECUTIVE OFFICER)
(207) 859-1565
Entity
Organization
Contact information
Practice address
97 WATER ST, WATERVILLE, ME 04901-6339
(207) 859-1597
(207) 861-9531
Mailing address
97 WATER ST, WATERVILLE, ME 04901-6339
(207) 859-1597
(207) 861-9531
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103990104
—
ME
Enumeration date
04/23/2009
Last updated
04/23/2009
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