M.s.a.d. #61

NPI #1841403722 in Casco, Maine

Provider Information

NPI Number: 1841403722
Entity Type: Organization
Organization Name: M.s.a.d. #61
Primary Specialty: Case Management
Enumeration Date: May 8, 2007
Last Updated: Aug 13, 2008

Practice Location

Address: 877 POLAND SPRING RD
City: Casco
State: Maine
ZIP Code: 04015
Phone: (207) 627-4578

Authorized Official

Name: MS. LISA HANSON
Title: DIRECTOR OF SPECIAL SERVICES
Phone: (207) 627-4578

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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