Organization
MSAD #17
Active
Organization
MSAD #17
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK EASTMAN (SUPERINTENDENT)
(207) 743-8972
Entity
Organization
Contact information
Practice address
1570 MAIN ST, OXFORD, ME 04270-3390
(207) 743-8972
Mailing address
1570 MAIN ST, OXFORD, ME 04270-3390
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251B00000X
ME
Other
Enumeration date
05/08/2007
Last updated
10/29/2010
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