Organization
KENNEBEC VALLEY CASE MANAGEMENT SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MINOTY LSX, B.S., A.A., MSP (CAO)
(207) 441-5637
Entity
Organization
Contact information
Practice address
309 WINDSOR RD, CHELSEA, ME 04330-1342
(207) 441-5637
Mailing address
309 WINDSOR RD, CHELSEA, ME 04330-1342
(207) 441-5637
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/06/2017
Last updated
07/21/2022
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