Organization
CHILD HEALTH CENTER-SPEECH THERAPY
Active
Organization
CHILD HEALTH CENTER-SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND HATCH (EXECUTIVE DIRECTOR)
(207) 743-7035
Entity
Organization
Contact information
Practice address
16 MADISON AVE, OXFORD, ME 04270-3579
(207) 743-7035
(207) 743-2970
Mailing address
16 MADISON AVE, OXFORD, ME 04270-3579
(207) 743-7035
(207) 743-2970
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
210451
ME
261QD1600X
Developmental Disabilities Clinic/Center
Primary
210451
ME
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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