Provider Demographics
NPI:1619247632
Name:MULTICULTURAL DEVELOPMENT RESOURCES
Entity Type:Organization
Organization Name:MULTICULTURAL DEVELOPMENT RESOURCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:L
Authorized Official - Last Name:CARRIER
Authorized Official - Suffix:
Authorized Official - Credentials:DIRECT SUPPORT PROFE
Authorized Official - Phone:207-604-0882
Mailing Address - Street 1:74 PIKE ST.
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04405
Mailing Address - Country:US
Mailing Address - Phone:207-604-0882
Mailing Address - Fax:
Practice Address - Street 1:74 PIKE ST.
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04405
Practice Address - Country:US
Practice Address - Phone:207-604-0882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty