63 Washington Street

NPI #1245528314 in Camden, Maine

Provider Information

NPI Number: 1245528314
Entity Type: Organization
Organization Name: 63 Washington Street
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Jul 11, 2011
Last Updated: Jul 11, 2011

Practice Location

Address: 63 WASHINGTON ST
City: Camden
State: Maine
ZIP Code: 04843-1581
Phone: (207) 236-3638

Authorized Official

Name: MRS. THERESA K WILLEY
Title: ADMINISTRATOR
Phone: (207) 236-3638

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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