Impactful Residential Care, LLC

NPI #1134879125 in Westbrook, Maine

Provider Information

NPI Number
1134879125
Entity Type
Organization
Organization Name
Impactful Residential Care, LLC
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Mar 24, 2022
Last Updated
Mar 24, 2022

Practice Location

Address
27 SEAVEY ST
State
Maine
ZIP Code
04092-4336
Phone
(571) 278-6103

Authorized Official

Name
DR. ASSUMPTA MUKABUTERA, MPH, PH.D
Title
CEO
Phone
(207) 310-3101

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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