Maverick Community Care LLC

NPI #1134998966 in Windham, Maine

Provider Information

NPI Number: 1134998966
Entity Type: Organization
Organization Name: Maverick Community Care LLC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Dec 21, 2023
Last Updated: Nov 11, 2024

Practice Location

Address: 7 COBALT CT
City: Windham
State: Maine
ZIP Code: 04062-4691
Phone: (207) 523-0091

Authorized Official

Name: MR. FINNEY IRASHITSA I
Title: CHIEF EXECUTIVE OFFICER
Phone: (207) 409-8544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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