Peace House Maine LLC

NPI #1710503107 in Raymond, Maine

Provider Information

NPI Number: 1710503107
Entity Type: Organization
Organization Name: Peace House Maine LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jun 22, 2020
Last Updated: Jun 22, 2020

Practice Location

Address: 6 WOODLAND RD
City: Raymond
State: Maine
ZIP Code: 04071-6368
Phone: (207) 409-5015

Authorized Official

Name: MR. THIERRY NDABAHAGAMYE, DSP
Title: CEO
Phone: (207) 409-5015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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