NPI 1245528314

63 Washington Street

Organisation Mental Illness Community Based Residential Treatment Facility Camden, ME

Practice location

Address: 63 Washington St, Camden, ME 04843-1581
Phone: (207) 236-3638
Fax: (207) 236-3638
Mailing address: 63 Washington Street, Camden, ME 04843

Authorised official

Name: Theresa K Willey
Title: Administrator
Phone: (207) 236-3638

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence ALLS 4136 (ME)

Other Community Based Residential Treatment Facility, Mental Illness providers in Maine →

Registry record

NPI: 1245528314
Entity type: Organization
NPI issued: 11 Jul 2011
Record last updated: 11 Jul 2011

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.