NPI 1811528920
Alternative Residential Care
Practice location
- Address
- 14 Joes Rd, Windham, ME 04062-4515
- Phone
- (207) 321-8600
Authorised official
- Name
- Harrison Kelvin Deah
- Title
- Ceo
- Phone
- (207) 321-8600
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1811528920
- Entity type
- Organization
- NPI issued
- 28 Jan 2020
- Record last updated
- 28 Jan 2020
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.