Organization
GINGER'S HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILY RICH LCSW (CEO)
(207) 329-5615
Entity
Organization
Contact information
Practice address
1000 WASHINGTON AVE, PORTLAND, ME 04103-2751
(207) 805-1111
(207) 747-5631
Mailing address
1000 WASHINGTON AVE, PORTLAND, ME 04103-2751
(207) 805-1111
(207) 747-5631
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
7256064
ME
324500000X
Substance Abuse Rehabilitation Facility
Primary
687133
ME
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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