Organization
IRONWOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY RODRIGUE (PRESIDENT CEO)
(207) 342-3655
Entity
Organization
Contact information
Practice address
67 CAPTAIN CUSHMAN RD, MORRILL, ME 04952-5035
(207) 342-3655
Mailing address
67 CAPTAIN CUSHMAN RD, MORRILL, ME 04952-5035
(207) 342-3655
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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