Organization
CHILDREN'S ODYSSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA GLOVER (DIRECTOR)
(207) 878-8868
Entity
Organization
Contact information
Practice address
110 DAVIS FARM RD, PORTLAND, ME 04103-1604
(207) 878-8868
(207) 878-8810
Mailing address
PO BOX 6038, FALMOUTH, ME 04105-6038
(207) 878-8868
(207) 878-8810
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124890000
—
ME
Enumeration date
04/27/2009
Last updated
04/27/2009
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