Organization
CHILD DEVELOPMENT SERVICES-HANCOCK COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI POLLACK (FINANCE MANAGER)
(207) 667-7108
Entity
Organization
Contact information
Practice address
190 BANGOR RD, SUITE A, ELLSWORTH, ME 04605-3258
(207) 667-7108
(207) 664-0461
Mailing address
190 BANGOR RD, SUITE A, ELLSWORTH, ME 04605-3258
(207) 667-7108
(207) 664-0461
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
222Q00000X
Developmental Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
ME260700
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2372663
AETNA ST HMO
ME
01
—
26798250
AETNA OT HMO
ME
01
—
7571150
AETNA OT NON-HMO
ME
01
—
7714153
AETNA ST NON-HMO
ME
01
—
MN2686
HARVARD PILGRIM
ME
Enumeration date
01/22/2007
Last updated
09/11/2025
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