NPI 1346134871

Wyatt Residential Services LLC

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

Practice location

Address: 78 Foxcroft Dr, Scarborough, ME 04074-8734
Phone: (207) 409-0334

Authorised official

Name: Axel Nimbona
Title: Ceo
Phone: (207) 409-0334

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: 1346134871
Entity type: Organization
NPI issued: 9 Jun 2025
Record last updated: 9 Jun 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.