Shalom House, Inc.

NPI #1992702955 in Portland, Maine

Provider Information

NPI Number
1992702955
Entity Type
Organization
Organization Name
Shalom House, Inc.
Primary Specialty
Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
Jul 6, 2005
Last Updated
Jan 23, 2009

Practice Location

Address
106 GILMAN ST
State
Maine
ZIP Code
04102-3034
Phone
(207) 874-1080

Authorized Official

Name
MS. MARY HAYNES-RODGERS
Title
EXECUTIVE DIRECTOR
Phone
(207) 874-1080

Specialties & Taxonomy Codes

Specialty
Case Management
Community Based Residential Treatment Facility, Mental Illness

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