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Organization

BECKET ACADEMY INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAY T. WOLTER (PRESIDENT)
(603) 353-9102
Entity
Organization

Contact information

Practice address
744 OAKLAND RD, BELGRADE, ME 04917-3411
(207) 465-4600
(207) 465-3785
Mailing address
PO BOX 325, ORFORD, NH 03777-0325
(603) 353-9102
(603) 353-9412

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
323P00000X
Psychiatric Residential Treatment Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
143320000
ME
05
143320001
ME
05
143320002
ME
05
143320003
ME
05
143320004
ME
05
143320005
ME
05
143320006
ME
Enumeration date
06/12/2007
Last updated
06/13/2019
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