Provider Demographics
NPI:1194965509
Name:MULTIPLE ALTERNATIVE ASSOCIATION OF CENTRAL AROOSTOOK COUNTY, INC.
Entity type:Organization
Organization Name:MULTIPLE ALTERNATIVE ASSOCIATION OF CENTRAL AROOSTOOK COUNTY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-498-3518
Mailing Address - Street 1:PO BOX 1074
Mailing Address - Street 2:
Mailing Address - City:CARIBOU
Mailing Address - State:ME
Mailing Address - Zip Code:04736-1074
Mailing Address - Country:US
Mailing Address - Phone:207-498-3518
Mailing Address - Fax:207-498-2997
Practice Address - Street 1:253 VAN BUREN RD
Practice Address - Street 2:
Practice Address - City:CARIBOU
Practice Address - State:ME
Practice Address - Zip Code:04736-3568
Practice Address - Country:US
Practice Address - Phone:207-498-3518
Practice Address - Fax:207-498-2997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-25
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME104470100Medicaid
ME104470000Medicaid