Provider Demographics
NPI:1114112968
Name:KNOX COUNTY CDS
Entity Type:Organization
Organization Name:KNOX COUNTY CDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-594-5933
Mailing Address - Street 1:116 TILLSON AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04841-3424
Mailing Address - Country:US
Mailing Address - Phone:207-594-5933
Mailing Address - Fax:207-594-1925
Practice Address - Street 1:116 TILLSON AVE
Practice Address - Street 2:
Practice Address - City:ROCKLAND
Practice Address - State:ME
Practice Address - Zip Code:04841-3424
Practice Address - Country:US
Practice Address - Phone:207-594-5933
Practice Address - Fax:207-594-1925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-13
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME405187251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)