Organization
SCHOOL ADMINISTRATIVE DISTRICT #20
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY G SMITH (BOOKKEEPER)
(207) 473-4455
Entity
Organization
Contact information
Practice address
28 HIGH SCHOOL DR STE B, FORT FAIRFIELD, ME 04742-1187
(207) 473-4455
Mailing address
28 HIGH SCHOOL DR STE B, FORT FAIRFIELD, ME 04742-1187
(207) 473-4455
(207) 473-4095
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137870001
—
ME
Enumeration date
05/22/2007
Last updated
06/23/2008
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