NPI 1770034415

Ironwood Maine

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Morrill, ME

Practice location

Address: 67 Captain Cushman Rd, Morrill, ME 04952-5035
Phone: (207) 345-3655
Fax: (207) 342-3791

Authorised official

Name: Nicole Anne Thibodeau
Title: Clinical Therapist
Phone: (207) 342-3655

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence MC16161 (ME)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Maine →

Registry record

NPI: 1770034415
Entity type: Organization
NPI issued: 18 Oct 2016
Record last updated: 18 Oct 2016

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.