Organization
MSAD #63
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY AUSTIN (DIRECTOR)
(201) 843-0702
Entity
Organization
Contact information
Practice address
202 KIDDER HILL RD, HOLDEN, ME 04429-6222
(207) 843-0702
(207) 843-6403
Mailing address
202 KIDDER HILL RD, HOLDEN, ME 04429-6222
(207) 843-0702
(207) 843-6403
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
253100000X
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104080000
—
ME
Enumeration date
11/13/2009
Last updated
11/13/2009
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