NPI 1437855004

Therapeutic Residential Services LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Bangor, ME

Practice location

Address: 218 Bolling Dr, Bangor, ME 04401-2848
Phone: (207) 740-0543
Mailing address: 135 Lake View Dr, Hartford, ME 04220-5243

Authorised official

Name: Sherlock Haylock
Title: Administrator
Phone: (207) 740-0543

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Maine →

Registry record

NPI: 1437855004
Entity type: Organization
NPI issued: 6 Feb 2023
Record last updated: 6 Feb 2023

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.