Organization
M.S.A.D.#27
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE CASTONGUAY (SPECIAL ED DIRECTOR)
(207) 834-3481
Entity
Organization
Contact information
Practice address
108 PLEASANT STREET, FORT KENT, ME 04743
(207) 834-3481
(207) 834-7357
Mailing address
108 PLEASANT STREET, FORT KENT, ME 04743
(207) 834-3481
(207) 834-7357
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
251B00000X
ME
Other
Enumeration date
05/03/2007
Last updated
08/13/2008
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