NPI 1104596493

Destiny Residential Care, LLC

Organisation Community/Behavioral Health Agency Westbrook, ME

Practice location

Address: 15 Teri Cir APT 82, Westbrook, ME 04092-3972
Phone: (207) 317-7828

Authorised official

Name: Anicet Bakunda
Title: Managing Member
Phone: (207) 317-7828

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Maine →

Registry record

NPI: 1104596493
Entity type: Organization
NPI issued: 17 Sep 2021
Record last updated: 17 Sep 2021

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.