Granite Bay Care, INC

NPI #1518022763 in Portland, Maine

Provider Information

NPI Number: 1518022763
Entity Type: Organization
Organization Name: Granite Bay Care, INC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Dec 27, 2006
Last Updated: Jul 22, 2009

Practice Location

Address: 1037 FOREST AVE
City: Portland
State: Maine
ZIP Code: 04103-3396
Phone: (207) 878-3229

Authorized Official

Name: MR. KASAI MUMPINI, MBA
Title: PRESIDENT & CEO
Phone: (603) 224-0044

Specialties & Taxonomy Codes

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

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