Provider Demographics
NPI:1124252895
Name:ANDROSCOGGIN HEAD START AND CHILD CARE
Entity type:Organization
Organization Name:ANDROSCOGGIN HEAD START AND CHILD CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ESTELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-795-4040
Mailing Address - Street 1:269 BATES ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-7331
Mailing Address - Country:US
Mailing Address - Phone:207-795-4040
Mailing Address - Fax:207-795-4044
Practice Address - Street 1:269 BATES ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-7331
Practice Address - Country:US
Practice Address - Phone:207-795-4040
Practice Address - Fax:207-795-4044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-11
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management