Old Town School Dept. | |
21 Jefferson St Old Town ME 04468-2106 | |
(207) 827-4441 | |
(207) 827-4449 |
Full Name | Old Town School Dept. |
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Speciality | Day Training, Developmentally Disabled Services |
Location | 21 Jefferson St, Old Town, Maine |
Authorized Official Name and Position | Anne Marie Boucher (INTERIM DIRECTOR) |
Authorized Official Contact | 2078274441 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Old Town School Dept. P.o. Box 543 21 Jefferson Street Old Town ME 04468-0543 Ph: (207) 827-4441 | Old Town School Dept. 21 Jefferson St Old Town ME 04468-2106 Ph: (207) 827-4441 |
NPI Number | 1316166580 |
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Provider Enumeration Date | 04/25/2007 |
Last Update Date | 08/21/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316166580 | NPI | - | NPPES |
136030002 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Primary |