Organization
SPECIAL CHILDREN'S FRIENDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE DODGE (EXECUTIVE DIRECTOR)
(207) 667-2430
Entity
Organization
Contact information
Practice address
78 UNION ST, ELLSWORTH, ME 04605-1551
(207) 667-2430
(207) 667-1175
Mailing address
78 UNION ST, ELLSWORTH, ME 04605-1551
(207) 667-2430
(207) 667-1175
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
476365
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109640000
—
ME
05
—
109640100
—
ME
Enumeration date
12/17/2008
Last updated
12/17/2008
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