Organization
PLEDGE RESIDENTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COME - ARISTIDE BRAHOUA (CEO)
(207) 408-7193
Entity
Organization
Contact information
Practice address
720 FORT HILL RD, GORHAM, ME 04038-2262
(207) 408-7193
(207) 222-0005
Mailing address
720 FORT HILL RD, GORHAM, ME 04038-2262
(207) 408-7193
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
05/01/2023
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