Whalio Doctors

NPI 1639365349

Broadreach Family and Community Services

Organisation Local Education Agency (LEA) Belfast, ME

Practice location

Address
5 Stephenson Ln, Belfast, ME 04915-7230
Phone
(207) 338-2200
Fax
(207) 338-1652

Authorised official

Name
Clair Bradstreet
Title
Cfo
Phone
(207) 338-2200

Registered specialties (5)

Local Education Agency (LEA) Primary
Agencies Taxonomy 251300000X Licence 403530 (ME)
Case Management Agency
Agencies Taxonomy 251B00000X
Developmentally Disabled Services Day Training Agency
Agencies Taxonomy 251C00000X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X
Early Intervention Provider Agency
Agencies Taxonomy 252Y00000X

Registry record

NPI
1639365349
Entity type
Organization
NPI issued
18 Sep 2007
Record last updated
27 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.