Camp Ketcha
NPI #1821401076 in Scarborough, Maine
Provider Information
- NPI Number
- 1821401076
- Entity Type
- Organization
- Organization Name
- Camp Ketcha
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 5, 2014
- Last Updated
- Jun 5, 2014
Practice Location
- Address
- 336 BLACK POINT RD
- City
- Scarborough
- State
- Maine
- ZIP Code
- 04074-8676
- Phone
- (207) 883-8977
Authorized Official
- Name
- MR. THOMAS DOHERTY, MSW
- Title
- EXECUTIVE DIRECTOR
- Phone
- (207) 883-8977
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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