Ironwood Lake House
NPI #1821872797 in South China, Maine
Provider Information
- NPI Number
- 1821872797
- Entity Type
- Organization
- Organization Name
- Ironwood Lake House
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- IRONWOOD MAINE
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Aug 22, 2023
- Last Updated
- Aug 22, 2023
Practice Location
- Address
- 24 POND HILL RD
- City
- South China
- State
- Maine
- ZIP Code
- 04358-5009
- Phone
- (310) 457-6302
Authorized Official
- Name
- DEBORA GARCIA
- Title
- RCM MANAGER
- Phone
- (310) 457-6302
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
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