Provider Demographics
NPI:1558578179
Name:SAD#63
Entity Type:Organization
Organization Name:SAD#63
Other - Org Name:CSD#8
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF SPECIAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ST.PIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:207-843-0702
Mailing Address - Street 1:202 KIDDER HILL RD
Mailing Address - Street 2:
Mailing Address - City:HOLDEN
Mailing Address - State:ME
Mailing Address - Zip Code:04429-6222
Mailing Address - Country:US
Mailing Address - Phone:207-843-0702
Mailing Address - Fax:207-843-6403
Practice Address - Street 1:202 KIDDER HILL RD
Practice Address - Street 2:
Practice Address - City:HOLDEN
Practice Address - State:ME
Practice Address - Zip Code:04429-6222
Practice Address - Country:US
Practice Address - Phone:207-843-0702
Practice Address - Fax:207-843-6403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)