Organization
MAINE SCHOOL ADMINISTRATIVE DISTRICT 59
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IRENE B CHRISTOPHER (DIRECTOR OF SPECIAL SERVICES)
(207) 696-3900
Entity
Organization
Contact information
Practice address
55 WESTON AVE, MADISON, ME 04950-1227
(207) 696-3323
(207) 696-5631
Mailing address
55 WESTON AVE, MADISON, ME 04950-1227
(207) 696-3323
(207) 696-5631
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103950002
—
ME
Enumeration date
05/15/2007
Last updated
06/16/2008
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