Northern Maine General
NPI #1912108168 in Eagle Lake, Maine
Provider Information
- NPI Number
- 1912108168
- Entity Type
- Organization
- Organization Name
- Northern Maine General
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- May 29, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 31 DEVOE BROOK RD
- City
- Eagle Lake
- State
- Maine
- ZIP Code
- 04739-0310
- Phone
- (207) 444-5152
Authorized Official
- Name
- REYNOLD RAYMOND
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (207) 444-5152
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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