Ironwood Maine

NPI #1770034415 in Morrill, Maine

Provider Information

NPI Number: 1770034415
Entity Type: Organization
Organization Name: Ironwood Maine
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Oct 18, 2016
Last Updated: Oct 18, 2016

Practice Location

Address: 67 CAPTAIN CUSHMAN RD
City: Morrill
State: Maine
ZIP Code: 04952-5035
Phone: (207) 345-3655

Authorized Official

Name: MS. NICOLE ANNE THIBODEAU, LMSW-CC
Title: CLINICAL THERAPIST
Phone: (207) 342-3655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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