Residential and Community Support Services
NPI #1699104208 in North Berwick, Maine
Provider Information
- NPI Number
- 1699104208
- Entity Type
- Organization
- Organization Name
- Residential and Community Support Services
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Nov 4, 2013
- Last Updated
- Nov 4, 2013
Practice Location
- Address
- 78A MADISON ST
- City
- North Berwick
- State
- Maine
- ZIP Code
- 03906-6734
- Phone
- (207) 432-5343
Authorized Official
- Name
- CHRISTINE TIERNAN
- Title
- PROGRAM DIRECTOR
- Phone
- (207) 432-5343
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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