Organization
KENNEBEC VALLEY COMMUNITY ACTION PROGRAM
Active
Other names
KVCAP Healthy Families
Organization subpart
No
Provider details
NPI number
Authorized official
PAT KOSMA (CHIEF EXECUTIVE OFFICER)
(207) 859-1565
Entity
Organization
Contact information
Practice address
97 WATER ST, WATERVILLE, ME 04901-6339
(207) 859-1565
(207) 873-0158
Mailing address
97 WATER ST, WATERVILLE, ME 04901-6339
(207) 859-1565
(207) 873-0158
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103990100
—
ME
05
—
103990102
—
ME
Enumeration date
06/11/2009
Last updated
06/11/2009
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