Provider Demographics
NPI:1003059122
Name:AROOSTOOK COUNTY ACTION PROGRAM, INC.
Entity type:Organization
Organization Name:AROOSTOOK COUNTY ACTION PROGRAM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDSTROM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-764-3721
Mailing Address - Street 1:PO BOX 1116
Mailing Address - Street 2:
Mailing Address - City:PRESQUE ISLE
Mailing Address - State:ME
Mailing Address - Zip Code:04769-1116
Mailing Address - Country:US
Mailing Address - Phone:207-764-3721
Mailing Address - Fax:207-768-3021
Practice Address - Street 1:771 MAIN ST
Practice Address - Street 2:
Practice Address - City:PRESQUE ISLE
Practice Address - State:ME
Practice Address - Zip Code:04769-2201
Practice Address - Country:US
Practice Address - Phone:207-764-3721
Practice Address - Fax:207-768-3021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-20
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME105430200OtherMAINECARE