Provider Demographics
NPI:1023230976
Name:OPPORTUNITIES CHILD DEVELOPMENT SERVICES
Entity type:Organization
Organization Name:OPPORTUNITIES CHILD DEVELOPMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:JALBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-743-9701
Mailing Address - Street 1:PO BOX 272
Mailing Address - Street 2:
Mailing Address - City:NORWAY
Mailing Address - State:ME
Mailing Address - Zip Code:04268-0272
Mailing Address - Country:US
Mailing Address - Phone:207-743-9701
Mailing Address - Fax:207-743-7063
Practice Address - Street 1:20 PARIS ST
Practice Address - Street 2:
Practice Address - City:NORWAY
Practice Address - State:ME
Practice Address - Zip Code:04268-5654
Practice Address - Country:US
Practice Address - Phone:207-743-9701
Practice Address - Fax:207-743-7063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME7464311OtherAETNA (NON-HMO PLANS)
ME2893278OtherAETNA (HMO PLANS)
ME027894OtherANTHEM