NPI 1154948206

Quality Care Access, LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Portland, ME

Practice location

Address: 22 Wayne St, Portland, ME 04102-2228
Phone: (817) 420-4698
Mailing address: 1321 Desert Barrel Dr, Fort Worth, TX 76177-2052

Authorised official

Name: Justin Nsenga
Title: Executive Director
Phone: (817) 420-4698

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1154948206
Entity type: Organization
NPI issued: 5 Jul 2020
Record last updated: 5 Jul 2020

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.