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Active Organization

Intellectual Disabilities Residential Treatment Facility · SOUTH PORTLAND, ME

Registration Details

NPI Number
1053467779
Provider Type
Organization
NPI Issued
Jan 26, 2007 (19.234930247592 yrs)
Last Updated
Jul 16, 2014
License
388111 (ME)

Practice Information

Address
280B GANNETT DR
SOUTH PORTLAND, ME, 041066940
Browse ME providers · Browse ZIP 04106
Phone
2078280048
Fax
2077723743

Other Intellectual Disabilities Residential Treatment Facility Organizations in SOUTH PORTLAND, ME

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.