Therapeutic Residential Services LLC

NPI #1437855004 in Bangor, Maine

Provider Information

NPI Number: 1437855004
Entity Type: Organization
Organization Name: Therapeutic Residential Services LLC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 6, 2023
Last Updated: Feb 6, 2023

Practice Location

Address: 218 BOLLING DR
City: Bangor
State: Maine
ZIP Code: 04401-2848
Phone: (207) 740-0543

Authorized Official

Name: SHERLOCK HAYLOCK
Title: ADMINISTRATOR
Phone: (207) 740-0543

Specialties & Taxonomy Codes

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

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