Organization
OLD TOWN SCHOOL DEPT.
Active
Other names
Old Town Regional Day Treatment Program
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNE MARIE BOUCHER (INTERIM DIRECTOR)
(207) 827-4441
Entity
Organization
Contact information
Practice address
21 JEFFERSON ST, OLD TOWN, ME 04468-2106
(207) 827-4441
(207) 827-4449
Mailing address
P.O. BOX 543, 21 JEFFERSON STREET, OLD TOWN, ME 04468-0543
(207) 827-4441
(207) 827-4449
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
—
136030002
—
ME
Enumeration date
04/25/2007
Last updated
08/21/2008
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