Provider Demographics
NPI:1720200090
Name:BROOKSVILLE
Entity Type:Organization
Organization Name:BROOKSVILLE
Other - Org Name:BROOKSVILLE ELEMENTARY SCHOOL
Other - Org Type:Other Name
Authorized Official - Title/Position:DDIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:D
Authorized Official - Last Name:PEER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-374-5609
Mailing Address - Street 1:20 HINKLEY ROAD
Mailing Address - Street 2:
Mailing Address - City:BLUE HILL
Mailing Address - State:ME
Mailing Address - Zip Code:04614
Mailing Address - Country:US
Mailing Address - Phone:207-374-5609
Mailing Address - Fax:207-374-2951
Practice Address - Street 1:1527 COASTAL ROAD
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:ME
Practice Address - Zip Code:04617
Practice Address - Country:US
Practice Address - Phone:207-326-8500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)