Northern Maine General
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Eagle Lake, ME. Organization (NPI-2).
NPI number1891934097
StatusActive
Last updated in NPPESFeb 11, 2009
Details
- NPI
- 1891934097
- Entity type
- Organization (NPI-2)
- Legal business name
- Northern Maine General
- Organization subpart
- No
- Enumeration date
- Feb 11, 2009
- Last updated
- Feb 11, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
3388 Aroostook RoadEagle Lake, ME 04739-0310
Phone 207-444-5152 · Fax 207-444-6099
Mailing address
229 Soldier Pond RdWallagrass, ME 04781-3006
Phone 207-444-5152 · Fax 207-444-6099
Authorized official
Reynold Raymond
Ceo
2074445152
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All 9 Intellectual and/or Developmental Disabilities Residential Treatment Facility providers in Eagle Lake · All 41 providers in Eagle Lake
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