NPI 1992702955

Shalom House, INC.

Organisation Mental Illness Community Based Residential Treatment Facility Portland, ME

Practice location

Address: 106 Gilman St, Portland, ME 04102-3034
Phone: (207) 874-1080
Fax: (207) 874-1077

Authorised official

Name: Mary Haynes-Rodgers
Title: Executive Director
Phone: (207) 874-1080

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 229743 (ME)

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

Case Management Agency

Agencies Taxonomy 251B00000X Licence 229743 (ME)

Other Case Management providers in Maine →

Registry record

NPI: 1992702955
Entity type: Organization
NPI issued: 6 Jul 2005
Record last updated: 23 Jan 2009

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.