NPI 1134998966
Maverick Community Care LLC
Practice location
- Address
- 7 Cobalt CT, Windham, ME 04062-4691
- Phone
- (207) 523-0091
Authorised official
- Name
- Finney Irashitsa
- Title
- Chief Executive Officer
- Phone
- (207) 409-8544
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1134998966
- Entity type
- Organization
- NPI issued
- 21 Dec 2023
- Record last updated
- 11 Nov 2024
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.