Whalio Doctors

NPI 1013244797

The Northern Lighthouse INC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Mars Hill, ME

Practice location

Address
14 Main St, Mars Hill, ME 04758
Phone
(207) 425-8880
Mailing address
PO Box 498, Mars Hill, ME 04758-0498

Authorised official

Name
Tiffany Faulkner
Title
Administrator
Phone
(207) 425-3880

Registered specialties (2)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320600000X

Registry record

NPI
1013244797
Entity type
Organization
NPI issued
17 Nov 2009
Record last updated
17 Nov 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.