NPI 1467097709

Pine Peak Care LLC

Organisation Mental Illness Community Based Residential Treatment Facility Portland, ME

Practice location

Address: 1395 Congress St, Portland, ME 04102-2120
Phone: (207) 415-6894
Mailing address: 13 Sara Ln, Portland, ME 04103-3622

Authorised official

Name: Manasse Shingiro
Title: Managing Member
Phone: (207) 415-6894

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

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

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X

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

Registry record

NPI: 1467097709
Entity type: Organization
NPI issued: 11 Nov 2019
Record last updated: 11 Nov 2019

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.