NPI 1902143464

Ironwood Maine

Organisation Mental Illness Community Based Residential Treatment Facility Morrill, ME

Practice location

Address: 67 Captain Cushman Road, Morrill, ME 04952-5035
Phone: (207) 342-3655
Fax: (207) 342-3731
Mailing address: 12424 Wilshire Blvd Suite 800, Los Angeles, CA 90025

Authorised official

Name: Jonathan Mark Monroe
Title: Cfo
Phone: (951) 334-2233

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 631916 (ME)

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

Registry record

NPI: 1902143464
Entity type: Organization
NPI issued: 3 Jan 2013
Record last updated: 25 May 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.