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Organization

MSAD 5

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TONI REED (BUSINESS MANGER)
(207) 596-2001
Entity
Organization

Contact information

Practice address
28 LINCOLN ST, ROCKLAND, ME 04841
(207) 596-6620
(207) 596-2004
Mailing address
28 LINCOLN ST, ROCKLAND, ME 04841
(207) 596-6620
(207) 596-2004

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
137710000
NH
Enumeration date
06/27/2007
Last updated
08/01/2008
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