Organization
CHILD DEVELOPMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZ KEACH (DIRECTOR)
(207) 877-2498
Entity
Organization
Contact information
Practice address
146 STATE HOUSE STA, AUGUSTA, ME 04333-0146
(207) 624-6838
Mailing address
163 SILVER ST, WATERVILLE, ME 04901-5813
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
ST2084
ME
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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