Port Resources
NPI #1053467779 in South Portland, Maine
Provider Information
- NPI Number
- 1053467779
- Entity Type
- Organization
- Organization Name
- Port Resources
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jan 26, 2007
- Last Updated
- Jul 16, 2014
Practice Location
- Address
- 280B GANNETT DR
- City
- South Portland
- State
- Maine
- ZIP Code
- 04106-6940
- Phone
- (207) 828-0048
Authorized Official
- Name
- MR. ROBIN DEFREEST
- Title
- DIRECTOR OF FINANCE
- Phone
- (207) 828-0048
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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