# CASA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902090285
- **Authorized official:** MS. ANNE D WALP (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (207) 879-6165

## Contact information

- **Practice address:** 741 WARREN AVE, PORTLAND, ME 04103-1007
- **Practice address phone:** (207) 879-6165
- **Practice address fax:** (207) 879-7466
- **Mailing address:** PO BOX 150, WESTBROOK, ME 04098-0150
- **Mailing address phone:** (207) 879-6165
- **Mailing address fax:** (207) 879-7466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311Z00000X | Custodial Care Facility | — | ME | — |
| 311ZA0620X | Adult Care Home Facility | — | ME | Yes |
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | 36670 | ME | — |

## Other

- **Enumeration date:** 08/30/2007
- **Last updated:** 04/20/2008