NPI 1124811294
Leap Group LLC
Practice location
- Address
- 138 Plymouth St, Portland, ME 04103-2077
- Phone
- (207) 521-4498
Authorised official
- Name
- Gills Gideon
- Title
- Executive Director
- Phone
- (207) 521-4498
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1124811294
- Entity type
- Organization
- NPI issued
- 22 May 2025
- Record last updated
- 22 May 2025
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.